Individual provider Active NPI

Alexandra Alvarez Rivas, LCSW, MSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1760032056
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014703 Issued in NC
Practice address
1213 West Morehead St
5TH Floor #2049
Charlotte, NC 28208
Phone
(980) 224-0766
NPI assigned
Sep 18, 2019
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 224924 MA
Clinical Social Worker 1041C0700X C014703 NC Primary

Addresses

Primary practice location

1213 West Morehead St
5TH Floor #2049
Charlotte, NC 28208

Mailing address

2720 Grand Union Way
Charlotte, NC 28209-1990
Phone (301) 755-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
224924MAMDClinical Social Worker
C014703NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1760032056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 GRAND UNION WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091990",
            "telephone_number": "301-755-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 WEST MOREHEAD ST",
            "address_2": "5TH FLOOR #2049",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "980-224-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ RIVAS",
        "first_name": "ALEXANDRA",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "224924",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.