Individual ProviderAlva NestorSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5808 River Dr, Lorton, VA 22079-4131(703) 922-0443PECOS EnrollmentBased on the most recent information from CMS, provider Alva Nestor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1184835266Provider TypeIndividualFull NameNestor, AlvaCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date5/24/2007Last Updated12/12/2018Contact InformationPractice LocationPractice Address5808 River Dr, Lorton, VA 22079-4131Phone(703) 922-0443FaxUnlisted FaxMailing LocationMailing Address5808 River Dr, Lorton, VA 22079-4131Phone(703) 922-0443FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904000057Virginia