Individual provider Active NPI

Ernesto Alvarez, LCSW-R

  • Clinical Social Worker
  • Bronxville, NY
National Provider Identifier
1649537796
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PO23962 Issued in NY
Practice address
130 Pondfield Rd
Suite #1
Bronxville, NY 10708-4015
Phone
(914) 318-2733
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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 PO23962 NY Primary

Addresses

Primary practice location

130 Pondfield Rd
Suite #1
Bronxville, NY 10708-4015

Mailing address

55 Knolls Crescent
Apt. 9-B
Riverdale, NY 10463
Phone (914) 318-2733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130429000061 NY Practitioner - Clinical Social Worker 0547406043
I20240812000756 NY Practitioner - Clinical Social Worker 0547406043 Practice locations: Bronxville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Pondfield Rd
Bronxville, NY 10708-4016
Phone 9143372733100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO23962NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1649537796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 KNOLLS CRESCENT",
            "address_2": "APT. 9-B",
            "city": "RIVERDALE",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "914-318-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PONDFIELD RD",
            "address_2": "SUITE #1",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084015",
            "telephone_number": "914-318-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ERNESTO",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PO23962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.