| Micaiah Fallon, LCSW | |
|
341 West St Unit B, Plantsville, CT 06479-1140 | |
| (203) 819-0789 | |
| Not Available |
| Full Name | Micaiah Fallon |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 341 West St Unit B, Plantsville, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841065372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 016472 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 09929942 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Denver Llc | 0840513552 | 566 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Micaiah Fallon, LCSW 341 West St Unit B, Plantsville, CT 06479-1140 Ph: (203) 819-0789 | Micaiah Fallon, LCSW 341 West St Unit B, Plantsville, CT 06479-1140 Ph: (203) 819-0789 |
Ms. Suzanne A Rosenberg, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 640 Main St, Plantsville, CT 06479 Phone: 860-261-2280 | |
Nicolina Renee Ku, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 966 S Main St, Plantsville, CT 06479 Phone: 860-736-5386 | |
Erica Aldieri, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 161 Atwater St, Plantsville, CT 06479 Phone: 860-919-7125 | |
Ms. Wendy Rufleth Henderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 Manor Rd, Plantsville, CT 06479 Phone: 860-919-1596 Fax: 860-426-0480 | |
Melissa Testa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Main St, Plantsville, CT 06479 Phone: 860-281-2280 | |
Susan Theresa Dalmoura, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Parkview Dr, Plantsville, CT 06479 Phone: 203-200-8202 | |
Ashley Dacosta, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1460 Meriden-waterbury Turnpike, Plantsville, CT 06479 Phone: 203-733-6228 |