Individual provider Active NPI

Michelle Falcon

  • Social Worker
  • Mesa, AZ
National Provider Identifier
1154885002
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-19276 Issued in AZ
Practice address
1705 W Main St
Mesa, AZ 85201-6920
Phone
(877) 809-5092
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 LMSW-19276 AZ Primary

Addresses

Primary practice location

1705 W Main St
Mesa, AZ 85201-6920

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201002110 NY Practitioner - Clinical Social Worker 0244620409 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-19276AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health CurrentSince Dec 1, 2021 Accepting new patients
The Institute for Family Health CurrentSince Dec 1, 2021 Accepting new patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health Past Accepting new patients

Locations

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

1824 Madison Ave
Fl 2
New York, NY 10035
Phone (212) 423-4200

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

230 W 17th St
Fl 68
New York, NY 10011

251 W 80th St
New York, NY 10024

Organizations & group practices 4

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1154885002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016920",
            "telephone_number": "877-809-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-19276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.