Jenna Fallago, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03010 Issued in RI

Practice address

249 Roosevelt Ave
Pawtucket, RI 02860-2134

Phone

(401) 724-8400

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1801323910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132B PLEASANT VIEW AVE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 ROOSEVELT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602134",
            "telephone_number": "401-724-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAGO",
        "first_name": "JENNA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Valeria Fabre, MD
• Brian Anthony Faella, D.P.T.
• Elaine Fain, MD
• Fairlawn Pharmacy Inc
• Fairlawn Primary Care, Inc
• Jaleh Fallah, MD
• Irene Fallon
• Marieliz Falu Iglesias
• Family Medicine Specialists Inc
• Family Service Society of Pawtucket & Vicinity

• Clinical Social Worker in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.