Active NPI
Susan F. Falck, MSW, LCSW, PC
Doing business as PlayWorks Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bonners Ferry, ID
National Provider Identifier
1154668796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SUSAN F. FALCK, MSW, LCSW, PC
- Doing business as
- PlayWorks Counseling Center
- Practice address
- 7583 Main St
Hawkins House Healing Center
Bonners Ferry, ID 83805-1837 - Phone
- (208) 946-9572
- Fax
- (208) 267-9020
- NPI assigned
- Jan 15, 2013
- Last updated
- Jun 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Falck, LCSW
- Title
- Owmer/President/Provider
- Phone
- (208) 946-9572
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
7583 Main St
Hawkins House Healing Center
Bonners Ferry, ID 83805-1837
Mailing address
PO Box 1837
7583 Main St
Bonners Ferry, ID 83805-1837
Phone (208) 946-9572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376861138 | Medicaid | ID |
Other names 1
- PlayWorks Counseling Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Bonners Ferry, ID
- NPI 1376861138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401926400000",
"number": "1154668796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1837",
"address_2": "7583 MAIN ST",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838051837",
"telephone_number": "208-946-9572",
"fax_number": "208-267-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7583 MAIN ST",
"address_2": "HAWKINS HOUSE HEALING CENTER",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838051837",
"telephone_number": "208-946-9572",
"fax_number": "208-267-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN F. FALCK, MSW, LCSW, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-15",
"last_updated": "2014-06-05",
"status": "A",
"authorized_official_last_name": "FALCK",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWMER/PRESIDENT/PROVIDER",
"authorized_official_telephone_number": "208-946-9572",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376861138",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PlayWorks Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bonners Ferry, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.