NPIMap

Organization Active NPI

Vicky Alvarez Therapy, LLC

  • Clinical Social Worker
  • Davison, MI
National Provider Identifier
1841077252
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VICKY ALVAREZ THERAPY, LLC
Practice address
1063 S State Rd Ste 8a
Davison, MI 48423-1900
Phone
(810) 771-3457
NPI assigned
Sep 11, 2023
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Mrs. Vicky Lynn Alvarez, LMSWNPI 1013029362
Title
Clinical Therapist
Phone
(810) 771-3457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1063 S State Rd Ste 8a
Davison, MI 48423-1900

Mailing address

PO Box 566
Davison, MI 48423-0566
Phone (810) 771-3457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927000272 MI Part B Supplier - Clinic/Group Practice 3678927597 Receives reassigned benefits from 8 practitioners
Practice locations: Davison, MI; Flint, MI; Lapeer, MI

National Provider Directory

National Provider Directory

Locations

105 E 2nd St
Ste 101
Davison, MI 48423
Phone (810) 771-3457

1063 S State Rd
Ste 8A
Davison, MI 48423
Phone (810) 214-1421

2413 S Linden Rd
Ste C
Flint, MI 48532
Phone (810) 771-3457

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1841077252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484230566",
            "telephone_number": "810-771-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 S STATE RD STE 8A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231900",
            "telephone_number": "810-771-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKY ALVAREZ THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "810-771-3457",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.