Provider Demographics
NPI:1194692384
Name:CHERIAN, ALISHA (LMSW)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:CHERIAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 DIAMOND AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2113
Mailing Address - Country:US
Mailing Address - Phone:516-637-8215
Mailing Address - Fax:
Practice Address - Street 1:234 AIRPORT PLAZA BLVD STE 11B
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3938
Practice Address - Country:US
Practice Address - Phone:516-637-8215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-21
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128892104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty