Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ilitza Alvarez-Moreno, LCSW-S

Individual provider Clinical Social Worker · NPI 1063183614

Ilitza Alvarez-Moreno, LCSW-S is a Clinical Social Worker in Jackson, Mississippi. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
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Practice location Address checks out

141 Military Dr
Jackson, MS 39232-8877
Phone: (601) 405-8418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 58200 (TX)

Record details

NPI number1063183614
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-S
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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