Falk, Carol

Falk, Carol is an individual health care provider with primary practice located at 101 E Pier St , Port Washington WI 53074-1939. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Falk, Carol can be contacted via phone (262) 284-3117.

Contact Information

Primary practice address
101 E Pier St Port Washington WI 53074-1939
Phone: (262) 284-3117
Fax: (262) 284-3087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11476 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 2952 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2952-123 Wisconsin

Profile Details

NPI number 1225045776
LBN Legal business name Falk, Carol
Credentials MSW, LCSW, CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225045776 NPPES
Wisconsin MEDICAID 40908400

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