Provider Demographics
NPI:1952996316
Name:FALCON, VICTORIA THERESA (PLMHP, CMSW)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:THERESA
Last Name:FALCON
Suffix:
Gender:F
Credentials:PLMHP, CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 LEAVENWORTH ST APT 626
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-2990
Mailing Address - Country:US
Mailing Address - Phone:402-238-5087
Mailing Address - Fax:
Practice Address - Street 1:6105 MAPLE ST STE A
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-4001
Practice Address - Country:US
Practice Address - Phone:402-238-5087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-07
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE116771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical