KENNETH J FALLIN (M.S.S.W) – Clinical Social Worker, NPI 1477601607

KENNETH J FALLIN (M.S.S.W) is a healthcare provider. based in Bedford, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials M.S.S.W. They hold a License No. 19238 (TX). The NPI Number for KENNETH J FALLIN (M.S.S.W) is 1477601607

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH J FALLIN (M.S.S.W)
NPI
1477601607
Phone
(817) 253-4773
Address
728 SADDLEBROOK DR S
Enumeration Date
5 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172534773
Graduation Year
1991 (35 years ago)
PAC ID
7719125038
Professional Enrollment ID
I20130529000007
Address ID
TX760124635AR750XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

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Provider Addresses for KENNETH J FALLIN (M.S.S.W)

  • 728 SADDLEBROOK DR S

    BEDFORD, TX 760215336

    Phone: (817) 253-4773

    Fax: (817) 282-7738

    Type: Mailing

  • 750, North Fielder Road, Arlington, Tarrant County, Texas, 76012, United States

    ARLINGTON, TX 760124635

    Phone: (817) 253-4773

    Fax: (817) 282-7738

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130529000007IClinical Social WorkerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16017$0
View full utilization report →

Insurance plans in this area (ZIP 76021)

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Reviews

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Frequently asked questions

What is the standard ID for KENNETH J FALLIN (M.S.S.W) in the U.S.?
In the U.S., KENNETH J FALLIN (M.S.S.W) is identified by NPI 1477601607.
Is KENNETH J FALLIN (M.S.S.W)'s NPI status active today?
Active status means KENNETH J FALLIN (M.S.S.W)'s NPI record is not deactivated in the public file.
How should patients interpret KENNETH J FALLIN (M.S.S.W)'s specialty?
The extract shows Clinical Social Worker for KENNETH J FALLIN (M.S.S.W). Clinical services aligned with this taxonomy classification.
Is KENNETH J FALLIN (M.S.S.W) tied to Bedford, Texas?
If you are local to Bedford, Texas, KENNETH J FALLIN (M.S.S.W) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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