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Provider Information for 1366162315


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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Ms. SAMANTHA ALVAREZ Lisw


Sex: Female

NPI: 1366162315
Last Updated: 2022-08-30
Certification Date: 2022-08-30

Details

NameValue
NPI1366162315
Enumeration Date2022-08-30
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1151 GENEVA AVE
COLUMBUS, OH 43223-2831
United States

Phone: 440-503-9553 | Fax:
 
Primary Practice Address 957 BRUSHFIELD DR APT 302
GALLOWAY, OH 43119-7919
United States

Phone: 440-503-9553 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalOHI0900239