Provider Demographics
NPI:1497905632
Name:FREITAS, AUREA VIOLA (LCSW)
Entity Type:Individual
Prefix:
First Name:AUREA
Middle Name:VIOLA
Last Name:FREITAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AUREA
Other - Middle Name:VIOLA
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1110 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-5375
Mailing Address - Country:US
Mailing Address - Phone:718-860-2515
Mailing Address - Fax:718-860-2519
Practice Address - Street 1:1110 BOSTON RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-5375
Practice Address - Country:US
Practice Address - Phone:718-860-2515
Practice Address - Fax:718-860-2519
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0799991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical