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Deactivated NPI 1891968418 Deactivated / Inactive NPI Female Practitioner

Jennifer Fallman

Social Worker • Mcclellan, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Fallman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2008
NPI Deactivation Date February 02, 2011
Total Practice Duration ~3 Years of Practice (2008 – 2011)

Professional Overview & Biography Verified Profile Summary

Jennifer Fallman was a registered Social Worker practicing in Mcclellan, CA. Throughout an active medical career spanning 3 years, Jennifer Fallman provided care at the practice location at 5342 DUDLEY BLVD until profile deactivation on 2011-02-02.

Practice Location & Contact Primary Location

Practice Address

5342 Dudley Blvd
Mail Code 116

Mcclellan, CA 956521012

Telephone 9165617461
Fax 9165617461
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Mcclellan, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Mcclellan, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1033134523

Licensed Clinical Social Worker

Clark Lomboy , NP

Nurse Practitioner - Family

NPI 1033507009

Nurse Practitioner

Valerie Christian , FNP

Nurse Practitioner - Family

NPI 1033528963

Family Nurse Practitioner

NPI 1063523306

Master of Science

Dr. Rino Dizon , DO

Family Medicine

NPI 1083882922

Doctor of Osteopathic Medicine (D.O.)

Mae Doctor , NP

Nurse Practitioner - Family

NPI 1104196930

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location October 18, 2013

Registered at 5342 DUDLEY BLVD, MAIL CODE 116, MCCLELLAN, CA 956521012 (Tel: 9165617461)

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Updated Business Mailing Address October 18, 2013

Registered at 5342 DUDLEY BLVD, MAIL CODE 116, MCCLELLAN, CA 956521012 (Tel: 9165617461)

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Provider Name / Credentials Updated October 18, 2013

Recorded as JENNIFER FALLMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2013

Social Worker

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NPI Profile Reactivated October 03, 2013

Record officially reactivated for active practice on October 03, 2013

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NPI Profile Deactivated February 02, 2011

Record deactivated on February 02, 2011

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Initial NPI Registration & Enumeration April 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891968418
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2008
Last Update: October 18, 2013
Deactivation Date: February 02, 2011
Sole Proprietor: No

Mailing Address

5342 Dudley Blvd, Mail Code 116

Mcclellan, CA 956521012

Phone: 9165617461

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.