Active NPI
Papa Fall, LCSW
- Social Worker
- Madison, WI
National Provider Identifier
1104423342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8784
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8784 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Psychological and Spiritual Wellness, LLC | Current | Accepting new patients | |
| Insight Counseling & Wellness, LLC | Past | 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.
-
- Clinical Social Worker
- Madison, WI
- NPI 1235080243
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1447673702
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.