Andrea Fallick, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R033132-1 Issued in NY

Practice address

369 Ashford Ave
2ND Floor
Dobbs Ferry, NY 10522-2626

Phone

(914) 844-0366

NPI assigned

Mar 17, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Student Assistance Services Corporation

  • Adolescent and Children Mental Health Clinic/Center
  • Tarrytown, NY
  • NPI 1952890949
  Medicare reassignment

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407970494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CONCORD RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021111",
            "telephone_number": "914-844-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 ASHFORD AVE",
            "address_2": "2ND FLOOR",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222626",
            "telephone_number": "914-844-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLICK",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033132-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene J. Liu, M.D., P.C.
• Express Car & Limousine Services Inc
• Eyes on Hudson Optometry LLC
• Jaridy Fabre, CCC-SLP
• Andrew Michael Fader, M.D.
• Rebecca Farber, OTR
• Gilda R Fata
• Sharyn R Fedele, M.S. SLP, TSSLD
• Mary Angela Felix
• Kathleen Ferdinandsen, LMSW

• Clinical Social Worker in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.