Individual provider Active NPI

Ethel Maria Alvarado, LCSW

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1619323656
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16707 Issued in FL
Practice address
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Phone
(954) 567-7141
Fax
(954) 703-2029
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW16707 FL Primary

Addresses

Primary practice location

871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731

Mailing address

871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Phone (954) 567-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514000931 FL Practitioner - Clinical Social Worker 7911338561 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care Resource Community Health Centers, Inc. CurrentSince Apr 7, 2020 Accepting new patients
Care Resource Community Health Centers, Inc Current Accepting new patients
Care Resource Community Health Centers, Inc. CurrentSince Apr 7, 2020 Accepting new patients
Theracounsel, Inc. Clinical CurrentSince Oct 15, 2024 Accepting new patients

Locations

4546 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 328-6163

3510 Biscayne Blvd
Miami, FL 33137
Phone 3055761234282

1680 Michigan Ave
Ste 912
Miami Beach, FL 33139
Phone (305) 534-0503

3160 Powerline Rd
Oakland Park, FL 33309
Phone (305) 773-7844

871 W Oakland Park Blvd
Wilton Manors, FL 33311
Phone (954) 567-7141

Interoperability endpoints

  • Direct secure messaging: ethel.alvarado.p1@direct.careresource.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Resource Community Health Centers, Inc 26 clinicians

Practice addresses (Care Compare)

3160 Powerline Rd
Oakland Park, FL 33309-5911
Phone 3055761234282

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1619323656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 W OAKLAND PARK BLVD",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111731",
            "telephone_number": "954-567-7141",
            "fax_number": "954-703-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 W OAKLAND PARK BLVD",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111731",
            "telephone_number": "954-567-7141",
            "fax_number": "954-703-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "ETHEL",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.