CAROL FALK (NPI# 1225045776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225045776 |
| Entity Type | Individual |
| Full Name | CAROL FALK |
| Credential | MSW, LCSW, CADC III |
| Practice Address |
101 E Pier St Port Washington WI 53074-1939 |
| Mailing Address |
1971 Washington St Ste 200 Grafton WI 53024-2125 |
| Practice Telephone | 2622843117 |
| Practice Fax Number | 2622843087 |
| Mailing Telephone | 2623776276 |
| Mailing Fax Number | 2623776289 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11476 | WI | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 2952 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2952-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40908400 | 05 |
| Street Address |
101 E PIER ST |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073536793 | Roger Blanchard | Social Worker | 101 E Pier St, Port Washington, WI 53074-1939 | 2006-07-25 |
| 1093998593 | Laura G. Brewer | Psychologist | 101 E Pier St, Port Washington, WI 53074-1939 | 2007-12-07 |
| 1407969413 | Lorene Menchaca | Social Worker | 101 E Pier St, Port Washington, WI 53074-1939 | 2006-08-16 |
| 1538182266 | Laura Owens | Social Worker | 101 E Pier St, Port Washington, WI 53074-1939 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229850 | Karen Marie Delillo | Social Worker | 24 Wildwood Gdns Apt 1f, Port Washington, NY 11050-2330 | 2020-09-09 |
| 1740891050 | Cindy Witkow | Social Worker | 95 Oakland Ave, Port Washington, NY 11050-1841 | 2020-08-11 |
| 1124319538 | Kathleen Admirand | Social Worker | 14 Linwood Rd N, Port Washington, NY 11050-1412 | 2011-04-20 |
| 1154624872 | Inga Goldstein | Social Worker | 10 Revere Rd, Port Washington, NY 11050-4321 | 2010-12-20 |
| 1477705267 | Marion C Lehmann | Social Worker | 50 Reid Ave, Port Washington, NY 11050-3508 | 2008-10-13 |
| 1891996427 | Barbara Neuman | Social Worker | 12 Roger Drive, Port Washington, NY 11050-2515 | 2007-05-30 |
| 1780720193 | Alice A Aboody | Social Worker | 9 The Crows Nest, Port Washington, NY 11050-1400 | 2007-01-30 |
| 1184089187 | Jennifer Lynn Fazio | Social Worker | 121 W Main St, Port Washington, WI 53074-1813 | 2015-12-18 |
| 1457744492 | Cindy Schottlaender | Social Worker | 121 W Main St, Port Washington, WI 53074-1813 | 2015-03-16 |
| 1306240742 | Kelly Grady | Social Worker | 121 W Main St, Port Washington, WI 53074-1813 | 2014-10-14 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
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| 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.