Provider Demographics
NPI:1710035365
Name:FALSEY, SANDRA PATRICIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:PATRICIA
Last Name:FALSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SHENANDOAH HL
Mailing Address - Street 2:
Mailing Address - City:NORTH YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04097-6056
Mailing Address - Country:US
Mailing Address - Phone:207-831-9475
Mailing Address - Fax:207-829-9243
Practice Address - Street 1:196 GRAY RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2513
Practice Address - Country:US
Practice Address - Phone:207-831-9475
Practice Address - Fax:207-829-9243
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC 12071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical