Martin Alonso Alvarez-Villada, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086859-1 Issued in NY

Practice address

4045 75TH St FL 2
Elmhurst, NY 11373-1011

Phone

(718) 505-1531

Fax

(347) 808-9871

NPI assigned

Aug 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Latino Support LCSW, P.C

  • Community/Behavioral Health Agency
  • Woodside, NY
  • NPI 1083967970
  NPD (past)

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1982950408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 75TH ST FL 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731011",
            "telephone_number": "718-505-1531",
            "fax_number": "347-808-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 75TH ST FL 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731011",
            "telephone_number": "718-505-1531",
            "fax_number": "347-808-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-VILLADA",
        "first_name": "MARTIN",
        "middle_name": "ALONSO",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086859-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George O. Alonso, M.D.
• Czarina Alonzo
• Alina Alvarado
• Michael Alvarado
• Vanessa Alvarado, NURSE PRACTITIONER
• Christina Alvarez, PA-C
• Karla Maria Alvizures, CNM
• Am Care Physical Therapy PC
• Am Dental, PC
• Thomas Henry Amabile

• Clinical Social Worker in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.