Individual provider Active NPI

Fallon Sanchez, LCSW

  • Clinical Social Worker
  • East Windsor, NJ
National Provider Identifier
1003371352
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05935700 Issued in NJ
Practice address
29 Spyglass CT
East Windsor, NJ 08520-1264
Phone
(609) 736-0281
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06233500 NJ
Clinical Social Worker 1041C0700X 44SC05935700 NJ Primary

Addresses

Primary practice location

29 Spyglass CT
East Windsor, NJ 08520-1264

Mailing address

29 Spyglass CT
East Windsor, NJ 08520-1264
Phone (609) 736-0281

Other practice location 1

36 Washington St
Toms River, NJ 08753
Phone (609) 477-8096

Other practice location 2

22 Village Ct
Hazlet, NJ 07730-1532
Phone (732) 639-0232

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06233500NJMDSocial Worker
44SC05935700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Clarity LLC Clinical CurrentSince Sep 29, 2020 Accepting new patients
Lotus Cove Counseling Clinical CurrentSince Feb 4, 2024 Accepting new patients

Locations

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1003371352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SPYGLASS CT",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201264",
            "telephone_number": "609-736-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SPYGLASS CT",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201264",
            "telephone_number": "609-736-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Washington St",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "08753",
            "country_code": "US",
            "telephone_number": "609-477-8096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Village Ct",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301532",
            "country_code": "US",
            "telephone_number": "732-639-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "FALLON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06233500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05935700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.