Rosa Susana Alva, LMSW

Individual provider Active NPI Social Worker · Jackson Heights, NY

NPI 1376822650 · NPPES record last updated Aug 4, 2011

Key facts

NPI
1376822650
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
3406 73Rd St
Jackson Heights, NY 11372-2133
Phone
(718) 672-1538
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NY Yes

Addresses

Primary practice location

3406 73Rd St
Jackson Heights, NY 11372-2133

Mailing address

9131 88TH St
Woodhaven, NY 11421-3014
Phone (917) 951-2831

Other providers in Jackson Heights, NY

All providers in Jackson Heights, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.