Individual provider Active NPI

Alia Frassa, LCSW

  • Clinical Social Worker
  • Wantagh, NY
National Provider Identifier
1760707467
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080751 Issued in NY
Practice address
3375 Park Ave
Suite 2005
Wantagh, NY 11793-3733
Phone
(516) 781-1911
Fax
(516) 781-1173
NPI assigned
Apr 6, 2010
Last updated
May 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 080751 NY Primary

Addresses

Primary practice location

3375 Park Ave
Suite 2005
Wantagh, NY 11793-3733

Mailing address

539 Willow St
South Hempstead, NY 11550-8018

Other practice location 1

539 Willow St
South Hempstead, NY 11550-8018
Phone (646) 641-6914

Other practice location 2

539 Willow St
South Hempstead, NY 11550-8018
Phone (646) 641-6914

Other practice location 3

539 Willow St
South Hempstead, NY 11550-8018
Phone (646) 641-6914

Other identifiers 1

IdentifierTypeStateIssuer
1124131461MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
080751NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1760707467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 WILLOW ST",
            "city": "SOUTH HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE",
            "address_2": "SUITE 2005",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933733",
            "telephone_number": "516-781-1911",
            "fax_number": "516-781-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Willow St",
            "address_purpose": "LOCATION",
            "city": "South Hempstead",
            "state": "NY",
            "postal_code": "115508018",
            "country_code": "US",
            "telephone_number": "646-641-6914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "539 Willow St",
            "address_purpose": "LOCATION",
            "city": "South Hempstead",
            "state": "NY",
            "postal_code": "115508018",
            "country_code": "US",
            "telephone_number": "646-641-6914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "539 Willow St",
            "address_purpose": "LOCATION",
            "city": "South Hempstead",
            "state": "NY",
            "postal_code": "115508018",
            "country_code": "US",
            "telephone_number": "646-641-6914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASSA",
        "first_name": "ALIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124131461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.