Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Micaiah Fallon, LCSW

Individual provider Clinical Social Worker · NPI 1841065372

Micaiah Fallon, LCSW is a Clinical Social Worker in Plantsville, Connecticut. Qualified in 2020, 6 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Connecticut.

Years since qualifying
6
Licensed in
CO, CT
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

341 W St Unit B
Plantsville, CT 06479-1140
Phone: (203) 819-0789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 09929942 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 016472 (CT)

Record details

NPI number1841065372
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 15, 2023
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address341 West St Unit B, Plantsville, CT 06479-1140

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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