Nicole Fall, LCSW, PSYM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080588 Issued in NY

Practice address

1 Scott Rd
Greenwich, CT 06831-2824

Phone

(917) 517-6293

NPI assigned

Aug 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1225269517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCOTT RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312824",
            "telephone_number": "917-517-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCOTT RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312824",
            "telephone_number": "917-517-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALL",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW, PSYM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolvere Health
• Experienced Pediatrics
• Richard Fagbemigun, M.D.
• Fairview Health of Greenwich LLC
• Kara Falconi, MS CCC-SLP
• Peter J Falla, LAT
• Family Centers Inc
• Family Centers Inc.
• Ashley Meilin Fan
• Molly Ann Farrell

• Clinical Social Worker in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.