Fallon Stapleton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015388 Issued in NC

Practice address

209 Delburg St Ste 101
Davidson, NC 28036-6914

Phone

(845) 988-7596

NPI assigned

Sep 8, 2015

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Fallon Marie Rossi Former name

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1235507302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 NARAMORE ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280366921",
            "telephone_number": "845-988-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 DELBURG ST STE 101",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280366914",
            "telephone_number": "845-988-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "FALLON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P011368",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015388",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FALLON",
            "last_name": "ROSSI",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southlake Psychiatry PC
• Emmanuel Adjei Sowah, NP-C
• Jolene Cecelia Spina, DC
• Alexis McKenna Sprankle, PA-C
• Springhealth Behavioral Health and Integrated Care North Carolina, LLC
• William David Staton, PH.D.
• Jessica Stoiber, RD
• Stone Institute of the Carolinas LLC
• Suburban Pediatric Clinic, Inc. (Suburban Pediatric Clinic - Davidson)
• Amy Kathleen Conn Suggs, CCC-SLP

• Clinical Social Worker in Davidson, NC
• Providers in Davidson, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.