Jennifer Fallman
Individual provider Active NPI Social Worker · McClellan, CA
NPI 1891968418 · NPPES record last updated Oct 18, 2013
Key facts
- NPI
- 1891968418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 5342 Dudley Blvd
Mail Code 116
McClellan, CA 95652-1012 - Phone
- (916) 561-7461
- Fax
- (916) 561-7461
- NPI assigned
- Apr 3, 2008
- Reactivated
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
5342 Dudley Blvd
Mail Code 116
McClellan, CA 95652-1012
Mailing address
5342 Dudley Blvd
Mail Code 116
McClellan, CA 95652-1012
Phone (916) 561-7461
Other providers in McClellan, CA
- Jasmine Elliott
- Emilce Integrative Care, a Psychological Corporation
- Kyra Ivanna Evans-Greagor
- Samantha Ewing
- Alan Lee Fahndrich
- Stanca Mihaela Felt
- Janelle Kianna Fisher
- Marie Fitts
- Hannah Kristina Fox
- Tyelahnai Lil' Lean Frelix
All providers in McClellan, CA · Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.