Provider Demographics
NPI:1801245253
Name:ALVAREZ SAENZ, INDIRA ANAIS (LCSW, SLP, CBHCMS)
Entity type:Individual
Prefix:
First Name:INDIRA
Middle Name:ANAIS
Last Name:ALVAREZ SAENZ
Suffix:
Gender:F
Credentials:LCSW, SLP, CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 PONCE DE LEON BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2070
Mailing Address - Country:US
Mailing Address - Phone:305-952-3247
Mailing Address - Fax:305-952-3248
Practice Address - Street 1:717 PONCE DE LEON BLVD STE 307
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2070
Practice Address - Country:US
Practice Address - Phone:305-952-3247
Practice Address - Fax:305-952-3248
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ12561235Z00000X
101YM0800X, 104100000X, 171M00000X
FLPSW14911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104294300Medicaid
FL126240000Medicaid