Susan F. Falck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW1296 Issued in ID

Practice address

7583 N. Main Street Hwy 95
Bonners Ferry, ID 83805-1837

Phone

(208) 267-1801

Fax

(208) 267-9020

NPI assigned

May 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Susan F. Falck, MSW, LCSW, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bonners Ferry, ID
  • NPI 1154668796
  NPD (past) Authorized official
• Alliance Family Services

  • Community/Behavioral Health Agency
  • Moscow, ID
  • NPI 1629398201
  NPD (past)
• Sequel Alliance Family Services, LLC

  • Mental Health Counselor
  • Coeur D Alene, ID
  • NPI 1053734251
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1376861138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 MAIN ST",
            "address_2": "SUITE D",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058552",
            "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 N. MAIN STREET HWY 95",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838051837",
            "telephone_number": "208-267-1801",
            "fax_number": "208-267-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCK",
        "first_name": "SUSAN",
        "middle_name": "F.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW1296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastport PSR, L.L.P.
• Edna Faye Eby, REGISTERED DIETICIAN
• Echo Spring Center for Transitional Studies
• Emilee Ede, DDS
• Ernest a. Lucero, MD PC
• Foster Holdings LTD
• Dana R Fox, HIS
• John Friesen, M.D.
• Angela Pearl Plaida Fusco, PHARMD
• Jennifer F Garwick, M.D.

• Clinical Social Worker in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.