Stephen Ryan Faille, MSW, ASW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW102825 Issued in CA

Practice address

845 Hennessey Way
Plumas Lake, CA 95961-9224

Phone

(194) 567-3376

NPI assigned

Jun 22, 2016

Sex

Male

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

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.

• Moonstone Recovery Inc.

  • Substance Abuse Rehabilitation Facility
  • Plumas Lake, CA
  • NPI 1225897317
  NPD Authorized official
• Episcopal Community Services

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1184168775
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1659722486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153802",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921953000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 HENNESSEY WAY",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959619224",
            "telephone_number": "194-567-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILLE",
        "first_name": "STEPHEN",
        "middle_name": "RYAN",
        "credential": "MSW, ASW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW102825",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "1239753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cluster B Family Therapy, Inc
• Rochelle Marie Curl, NP
• Thomas Edward Dougan, MD
• Robert Gerald Duncan, NP-C
• Amber Faille, LCSW
• Raina Feiszli, PHD
• Melissa Evonne Fletcher, LCSW
• Quenette Freeman, LCSW
• Jasmine J Gibson
• Leah Natasha Glass

• Social Worker in Plumas Lake, CA
• Providers in Plumas Lake, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.