Provider Demographics
NPI:1144201641
Name:FALASCA, SALLYANNE (LISW-S)
Entity Type:Individual
Prefix:MISS
First Name:SALLYANNE
Middle Name:
Last Name:FALASCA
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 STONES THROW AVE
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-4204
Mailing Address - Country:US
Mailing Address - Phone:330-757-3975
Mailing Address - Fax:330-757-3976
Practice Address - Street 1:3300 STONES THROW AVE
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-4204
Practice Address - Country:US
Practice Address - Phone:330-757-3975
Practice Address - Fax:330-757-3976
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.08000591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical