Individual provider Active NPI

Marisela G Romero Alvarez, LCSW

  • Clinical Social Worker
  • Burlingame, CA
National Provider Identifier
1821466723
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104259 Issued in CA
Practice address
287 Lorton Ave
Burlingame, CA 94010-4203
Phone
(800) 505-5972
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10410000XASW
Social Worker 104100000X 82190 CA
Clinical Social Worker 1041C0700X 104259 CA Primary

Addresses

Primary practice location

287 Lorton Ave
Burlingame, CA 94010-4203

Mailing address

6569 N Riverside Dr Ste 102-176
Fresno, CA 93722-9318
Phone (800) 505-5972

Other practice location 1

209 E 7th St
Madera, CA 93638
Phone (559) 673-3508

Other practice location 2

100 W Walnut St
Pasadena, CA 91124
Phone (626) 395-7100

Other practice location 3

6051 N Fresno St Ste 201
Fresno, CA 93710-5280
Phone (559) 248-8550

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104259CAMDMarriage & Family Therapist
82190CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyra Clinical of New Jersey P.C. Social Worker CurrentSince Sep 1, 2024 Accepting new patients
Lyra Clinical Associates P.C. Social Worker PastSince Sep 1, 2024 Accepting new patients

Locations

287 Lorton Ave
Burlingame, CA 94010
Phone (512) 609-0330

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1821466723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N RIVERSIDE DR STE 102-176",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937229318",
            "telephone_number": "800-505-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 LORTON AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104203",
            "telephone_number": "800-505-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "93638",
            "country_code": "US",
            "telephone_number": "559-673-3508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91124",
            "country_code": "US",
            "telephone_number": "626-395-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6051 N Fresno St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105280",
            "country_code": "US",
            "telephone_number": "559-248-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO ALVAREZ",
        "first_name": "MARISELA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "10410000XASW",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "82190",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.