Individual provider · Type 1 NPI

Kelly Fallon, MSW, LISW-S, LCSW

Clinical Social Worker · Erlanger, KY

NPI number 1194119941 Active

Practice location

4220 Houston Rd
Erlanger, KY 41018-3402

Mailing address

8665 Tudor Ct
Cincinnati, OH 45242-7836

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X254010 (KY)
Clinical Social Worker 1041C0700XI.1201146-SUPV (OH)
Clinical Social Worker Primary 1041C0700X254010 (KY)

Clinical Social Worker: 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 interpers…

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About NPI 1194119941

Kelly Fallon, MSW, LISW-S, LCSW's National Provider Identifier is 1194119941, issued on Mar 18, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Erlanger, KY. The record was last updated on Dec 18, 2020.