Jay Metztli Alvarez, LSW
Individual provider Active NPI Social Worker · Plano, IL
NPI 1194575639 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1194575639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150.109041 (IL)
- Practice address
- 11000 Route 34
Suite 3
Plano, IL 60545 - Phone
- (847) 457-6730
- NPI assigned
- Mar 26, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.109041 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.109041 | IL | Yes |
Addresses
Primary practice location
11000 Route 34
Suite 3
Plano, IL 60545
Mailing address
11000 Route 34
Suite 3
Plano, IL 60545
Phone (847) 457-6730
Other providers in Plano, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.