Individual
ELIZABETH A FALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7300 E INDIANA ST STE 103, EVANSVILLE, IN 47715-7448
(216) 468-5000
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10320
TN
1041C0700X
Clinical Social Worker
Primary
34004360A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281550
ANTHEM
IN
05
—
100240880
—
IN
01
—
11489580
CAQH
—
01
—
839090JJJ
MEDICARE
IN
Enumeration date
08/10/2006
Last updated
05/11/2026
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