KELLY FALLON (NPI# 1194119941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194119941 |
| Entity Type | Individual |
| Full Name | KELLY FALLON |
| Credential | MSW, LISW-S, LCSW |
| Practice Address |
11590 Century Blvd Ste 116 Cincinnati OH 45246-3317 |
| Mailing Address |
8665 Tudor Ct Cincinnati OH 45242-7836 |
| Practice Telephone | 5137717239 |
| Mailing Telephone | 5137717239 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 254010 | KY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1201146-SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0176667 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8665 Tudor Ct, Cincinnati, OH 452427836 | 5137717239 | |
| 1 Moock Rd Ste 101, Wilder, KY 410715465 | 8593419333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053422410 | Kelly A Fallon | Chiropractor | 1360 N. Sandburg Terrace, Suite 101, Chicago, IL 60610 | 2006-08-31 |
| 1548696974 | Kelly A Fallon | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2013-09-17 |
| Street Address |
11590 CENTURY BLVD STE 116 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45246-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544273 | Rachel Anna Carroll | Case Manager/Care Coordinator | 11590 Century Blvd Ste 116, Cincinnati, OH 45246-3317 | 2020-10-05 |
| 1972097582 | Christopher Michael Yee | Case Manager/Care Coordinator | 11590 Century Blvd Ste 116, Cincinnati, OH 45246-3317 | 2018-06-18 |
| 1548750078 | Margaret Kingsley | Social Worker | 11590 Century Blvd Ste 116, Cincinnati, OH 45246-3317 | 2018-05-10 |
| 1619484052 | Caitlin Murphy Francesconi | Social Worker | 11590 Century Blvd Ste 116, Cincinnati, OH 45246-3317 | 2018-01-08 |
| 1720534712 | Alyssa Marie Gerdes | Social Worker | 11590 Century Blvd Ste 116, Cincinnati, OH 45246-3317 | 2016-08-30 |
| 1003267477 | Jaime Surber | Counselor | 11590 Century Blvd Ste 116, Cincinnati, OH 45246 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
| 1649832338 | Combine Home Care | Home Health | 260 Northland Blvd Ste 234, Cincinnati, OH 45246 | 2019-07-02 |
| 1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
| 1295205276 | Emmanuel Bio Antwi | Adult Companion | 230 Northland Blvd Suite 112, Cincinnati, OH 45246 | 2018-12-03 |
| 1225567506 | Rebecca J Travis | Case Manager/Care Coordinator | 11590 Century Blvd Suite 116, Cincinnati, OH 45246 | 2017-06-08 |
| 1245770320 | Tiffany Burton | Behavior Technician | 11789 Rose Lane, Cincinnati, OH 45246 | 2017-03-08 |
| 1306207964 | Adriana Harris | Home Health Aide | 270 Northland Blvd Ste 112, Springdale, OH 45246 | 2016-03-10 |
| 1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
| 1144564071 | Premier Care of Ohio, Inc. | Community/Behavioral Health | 42 E. Crescentville Road, West Chester, OH 45246 | 2012-11-15 |
| Find all providers in zip 45246 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614452 | Guiding Paths Therapy Services, LLC | Social Worker | 526 Clinton Springs Ave # C, Cincinnati, OH 45217-1955 | 2020-09-21 |
| 1568077881 | Anne Katherine Karp | Social Worker | 6738 Dante Ave, Cincinnati, OH 45213-1505 | 2020-09-14 |
| 1316551443 | Karen Denise Rumsey | Social Worker | 1717 Section Rd Ste 2061541, Cincinnati, OH 45237-3397 | 2020-09-05 |
| 1073127882 | David Delgado II | Social Worker | 2905 Montclair Ave, Cincinnati, OH 45211-5703 | 2020-08-31 |
| 1972111656 | Blue Skyy Therapeutic Services, LLC | Social Worker | 1717 Section Rd Ste 206, Cincinnati, OH 45237-3336 | 2020-07-17 |
| 1083231179 | Inspire Counseling and Consulting | Social Worker | 8780 Colerain Ave, Cincinnati, OH 45251-2918 | 2020-07-06 |
| 1326664558 | Brittany Gordon | Social Worker | 3012 Glenmore Ave Ste 13, Cincinnati, OH 45238-2258 | 2020-06-23 |
| 1962028217 | Jr Gatt, LLC | Social Worker | 1118 Pendleton St Ste 440, Cincinnati, OH 45202-8805 | 2020-06-23 |
| 1811519937 | Aungelique R Heater | Social Worker | 526 Clinton Springs Ave Unit C, Cincinnati, OH 45217-1955 | 2020-05-12 |
| 1780219477 | Ebony Peak | Social Worker | 7373 Brookcrest Dr Ste 305, Cincinnati, OH 45237-3455 | 2020-03-03 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45246 |
Please comment or provide details below to improve the information on KELLY FALLON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.