NPIMap

Individual provider Active NPI

Sallyanne Falasca, LISW-S

  • Clinical Social Worker
  • Poland, OH
National Provider Identifier
1144201641
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800059 Issued in OH
Practice address
3300 Stones Throw Ave
Poland, OH 44514-4204
Phone
(330) 757-3975
Fax
(330) 757-3976
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0800059 OH Primary

Addresses

Primary practice location

3300 Stones Throw Ave
Poland, OH 44514-4204

Mailing address

3300 Stones Throw Ave
Poland, OH 44514-4204
Phone (330) 757-3975

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Services, Incorporated Past Accepting new patients
Hospice of the Valley, Inc Past Accepting new patients

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1144201641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 STONES THROW AVE",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144204",
            "telephone_number": "330-757-3975",
            "fax_number": "330-757-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 STONES THROW AVE",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144204",
            "telephone_number": "330-757-3975",
            "fax_number": "330-757-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALASCA",
        "first_name": "SALLYANNE",
        "name_prefix": "Miss",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.