Individual provider Active NPI

Papa Fall, LCSW

  • Social Worker
  • Madison, WI
National Provider Identifier
1104423342
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8784 Issued in WI
Practice address
330 W Lakeside St Ste B
Madison, WI 53715-2072
Phone
(414) 801-9208
NPI assigned
Oct 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8784 WI Primary

Addresses

Primary practice location

330 W Lakeside St Ste B
Madison, WI 53715-2072

Mailing address

330 W Lakeside St Ste B
Madison, WI 53715-2072
Phone (414) 801-9208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 W Glen Oaks LN
Suite 105
Mequon, WI 53092-3369

6605 Forest Park Dr
Deforest, WI 53532-2703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8784WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Psychological and Spiritual Wellness, LLC CurrentSince Jul 1, 2026 Accepting new patients
Insight Counseling & Wellness, LLC PastSince Oct 4, 2020 Accepting new patients

Locations

330 W Lakeside St
Ste B
Madison, WI 53715
Phone (414) 801-9208

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1104423342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W LAKESIDE ST STE B",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152072",
            "telephone_number": "414-801-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W LAKESIDE ST STE B",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152072",
            "telephone_number": "414-801-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALL",
        "first_name": "PAPA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "8784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.