SANDRA ANNE FALLON (LICSW) – Clinical Social Worker, NPI 1194065110

SANDRA ANNE FALLON (LICSW) is a healthcare provider. based in Southbridge, Massachusetts. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 1016260 (MA). The NPI Number for SANDRA ANNE FALLON (LICSW) is 1194065110

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA ANNE FALLON (LICSW)
NPI
1194065110
Phone
(508) 765-9761
Address
29 PINE ST
Enumeration Date
28 February 2013
Last Update Date
28 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087652200
Graduation Year
1986 (40 years ago)
PAC ID
7719959972
Group Practice PAC ID
8123087319
Professional Enrollment ID
I20040809000519
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for SANDRA ANNE FALLON (LICSW)

  • 29 PINE ST

    SOUTHBRIDGE, MA 015501823

    Phone: (508) 765-9761

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01550)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123087319View full group profile
NameSpecialtyState
RENEE E. KLEIN (L.I.C.S.W.)
-MA
MS. CAROL ANN ELIADI (NP)
-MA
JACQUELINE CAFFREY (PA-C)
-MA
MELISSA ANN GOBIN-BORSKI (LCSW)
-CT
MRS. WENDY LIGETI (P.A,)
-MA
MS. DENISE S. DUPLESSIS (MS, PCNS)
-MA
MS. KALLY ANN PETKA (FNP)
-MA
JAMES RODERICK MACDONALD (PMHNP)
-MA
BEVERLY DEBRUYN (NP)
-MA
MR. JAMES REIS (LCSW)
-PA

Reviews

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Frequently asked questions

What is SANDRA ANNE FALLON (LICSW)'s NPI number?
SANDRA ANNE FALLON (LICSW)'s NPI is 1194065110 — the number used across U.S. healthcare to identify this provider.
Is SANDRA ANNE FALLON (LICSW) shown as active in public data?
Registry records indicate SANDRA ANNE FALLON (LICSW) maintains an active NPI.
What expertise is attributed to SANDRA ANNE FALLON (LICSW)?
SANDRA ANNE FALLON (LICSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is SANDRA ANNE FALLON (LICSW) located near Southbridge?
SANDRA ANNE FALLON (LICSW) currently maps to Southbridge, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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