Angelica Susan Alvarado
Individual provider Active NPI Social Worker · Fowler, CA
NPI 1780449173 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1780449173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- ASW121465 (CA)
- Practice address
- 311 E Merced St
Fowler, CA 93625-2316 - Phone
- (559) 892-9452
- NPI assigned
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| ASW121465 | CA | MD | Social Worker |
| 17542 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prodigy Healthcare Non Profit | Current |
Accepting new patients | |
| Prodigy Healthcare Inc. | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Locations
311 E Merced St
Fowler, CA 93625
Phone (555) 892-9452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17542 | CA | |
| Social Worker | 104100000X | ASW121465 | CA | Yes |
Addresses
Primary practice location
311 E Merced St
Fowler, CA 93625-2316
Mailing address
311 E Merced St
Fowler, CA 93625-2316
Phone (559) 892-9452
Other providers in Fowler, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 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.