Individual provider Active NPI

Marian McCaslin Faller, LICSW

  • Clinical Social Worker
  • Westerly, RI
National Provider Identifier
1730272014
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01530 Issued in RI
Practice address
10 Hillview Dr
Westerly, RI 02891-1313
Phone
(401) 596-8800
Fax
(401) 315-8831
NPI assigned
Oct 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01530 RI Primary

Addresses

Primary practice location

10 Hillview Dr
Westerly, RI 02891-1313

Mailing address

10 Hillview Dr
Westerly, RI 02891-1313
Phone (401) 596-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20040226001164 RI Practitioner - Clinical Social Worker 4789570532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Hillview Dr
Westerly, RI 02891-1313
Phone 40159688001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005430CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Clinical CurrentSince Oct 1, 2003 Accepting new patients
Kimberly a. Newbury Clinical Past Accepting new patients
Sound Community Services, Inc. Past Accepting new patients

Locations

97 Cross St
Westerly, RI 02891
Phone (401) 527-8502

28 Wells St
Westerly, RI 02891
Phone (401) 348-0800

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1730272014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HILLVIEW DR",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911313",
            "telephone_number": "401-596-8800",
            "fax_number": "401-315-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HILLVIEW DR",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911313",
            "telephone_number": "401-596-8800",
            "fax_number": "401-315-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLER",
        "first_name": "MARIAN",
        "middle_name": "MCCASLIN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.