Angela Constance Fallon, LICSW

Individual provider Active NPI Clinical Social Worker · Epping, NH

NPI 1710113154 · NPPES record last updated Oct 8, 2020

Key facts

NPI
1710113154
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
131 Main St Ste 102
Epping, NH 03042-2466
Phone
(978) 218-8064
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
James J. Foster & Associates, LTD Past
since May 24, 2009
Accepting new patients
James J Foster & Associates, LTD Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

131 Main St Ste 102
Epping, NH 03042-2466

Mailing address

131 Main St Ste 102
Epping, NH 03042-2466
Phone (978) 218-8064

Other providers in Epping, NH

All providers in Epping, NH · Clinical Social Worker in New Hampshire

Sources for this page

Verify at the official NPI Registry.