Provider Demographics
NPI:1255922068
Name:ALVAREZ MOSQUERA, YESIKA EGLEE (LMSW)
Entity type:Individual
Prefix:
First Name:YESIKA
Middle Name:EGLEE
Last Name:ALVAREZ MOSQUERA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12315 103RD AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2105
Mailing Address - Country:US
Mailing Address - Phone:347-363-8244
Mailing Address - Fax:
Practice Address - Street 1:234 E 149TH ST FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5589
Practice Address - Country:US
Practice Address - Phone:718-579-4687
Practice Address - Fax:718-579-5510
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110298104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker