Alyse Freda-Colon, LCSW
Individual provider Active NPI Clinical Social Worker · Centerport, NY
NPI 1497706014 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1497706014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R048909-1 (NY)
- Practice address
- 410 E Main St
Centerport, NY 11721-1541 - Phone
- (516) 635-4848
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R048909-1 | NY | MD | Clinical Social Worker |
| 048909 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R048909-1 | NY | Yes |
Addresses
Primary practice location
410 E Main St
Centerport, NY 11721-1541
Mailing address
15 Woodruff CT
Huntington, NY 11743-2355
Phone (631) 271-0712
Other providers in Centerport, NY
- Ernest C. Chisena, M.D.,P.C.
- Joshua C Fendel
- Laura Ferrier
- Christi Fiore
- Cynthia Forstbauer
- Lisa M Gaudioso
- Joan Mason Graham
- David Green
- Christin Noel Griskie
- Christopher Joseph Grodski
All providers in Centerport, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.