NPI 1811513807 · live from the CMS NPI Registry
Dominic Charles Alvarez, MSCJ
Social Worker in Jefferson, WI. National Provider Identifier 1811513807, active.
NPI record
| NPI | 1811513807 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 1541 Annex Rd, Jefferson, WI 53549 |
| Practice phone | 920-674-7257 |
| Enumerated | June 25, 2020 |
| Last updated | June 25, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.