Carol Falk, MSW, LCSW, CADC III

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2952 Issued in WI

Practice address

101 E Pier St
Port Washington, WI 53074-1939

Phone

(262) 284-3117

Fax

(262) 284-3087

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alarus Home Health LLC

  • In Home Supportive Care Agency
  • Grafton, WI
  • NPI 1164834974
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1225045776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 WASHINGTON ST",
            "address_2": "STE 200",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242125",
            "telephone_number": "262-377-6276",
            "fax_number": "262-377-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PIER ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741939",
            "telephone_number": "262-284-3117",
            "fax_number": "262-284-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "CAROL",
        "credential": "MSW, LCSW, CADC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11476",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2952",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2952-123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40908400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Belter SLP LLC
• Anthony Jack Ettmayer Jr., PT
• Alesha J Ewig, PA-C
• Extendicare Homes, Inc.
• Eye-Q Optical
• Jennifer Lynn Fazio, MSW
• Maria C Filut, LCSW, APSW, SAC-IT
• Vickie Finch
• Donald C Fischer, MD
• Nicole J Fischer, MFT-IT APSW

• Social Worker in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.