Active NPIIndividual providerSole proprietor

Sandra A Fallon, LICSW

Social Worker, Clinical in Southbridge, Massachusetts

NPI Number1194065110
Practice location
29 Pine St, Southbridge, MA 01550-1823
Fax
—
Last updated
February 28, 2013

Sandra Anne Fallon is a Social Worker, Clinical based in Southbridge, MA. Sandra Anne Fallon practices in Southbridge, MA and has the professional credentials of LICSW. The NPI Number for Sandra Anne Fallon is 1194065110 and holds a License No. 1016260 (MA). The current practice location address for Sandra Anne Fallon is 29 Pine St, Southbridge, MA 01550-1823 and can be reached out via phone at 508-765-9761.

Provider Profile Details

NPI Number
1194065110
Provider Name
Sandra Anne Fallon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
29 Pine St, Southbridge, MA 01550-1823
Phone Number
508-765-9761
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2013
Last Update Date
February 28, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Pine St
Southbridge, MA 01550-1823
Zip
01550-1823
Phone Number
508-765-9761
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
29 Pine St
Southbridge, MA 01550-1823
City
Southbridge
State
MA
Zip
01550-1823
Phone Number
508-765-9761

License Information

License Number
1016260
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra A Fallon, LICSW?

The NPI number of Sandra A Fallon, LICSW is 1194065110. It was assigned on February 28, 2013 and is currently active in the NPPES registry.

What is the specialty of Sandra A Fallon, LICSW?

Sandra A Fallon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1016260.

Where does Sandra A Fallon, LICSW practice?

The practice location is 29 Pine St, Southbridge, MA 01550-1823. The office can be reached at 508-765-9761 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194065110 directly on the NPPES registry website.

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