1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Social Worker
  6. NPI Profile

PAPA FALL LCSW
NPI 1104423342
Social Worker in Madison, WI

Active since October 01, 2020PECOS Enrolled
330 W LAKESIDE ST STE B, MADISON, WI 53715(414) 801-9208 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2026, Oct 1, 2020 (2 updates tracked since 2020).

About Papa Fall Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAPA FALL LCSW (NPI 1104423342) is an individual social worker in Madison, Wisconsin, licensed in Wisconsin (8784) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104423342
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NamePAPA FALLCredential: LCSW
Location Address330 W LAKESIDE ST STE BMadison, WI 53715-2072
Mailing Address330 W Lakeside St Ste BMadison, WI 53715-2072 · (414) 801-9208
Phone(414) 801-9208
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 1, 2020
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1104423342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WI · 8784
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
330 W LAKESIDE ST STE B, Madison, WI 53715
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Papa Fall Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668939877
PECOS Enrollment IDI20260807001134
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Papa Fall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Madison Psychological And Spiritual Wellness, LLC
Same address
Clinical
330 W LAKESIDE ST STE B
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1235080243 (414) 801-9208

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON PSYCHOLOGICAL AND SPIRITUAL WELLNESS, LLC
Social Worker (Clinical)
330 W LAKESIDE ST STE B
MADISON, WI 53715
Dane County (414) 801-9208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Papa Fall's NPI number?

The NPI number for Papa Fall is 1104423342. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Papa Fall located?

Papa Fall practices at 330 W Lakeside St Ste B, Madison, WI 53715. The listed phone number is (414) 801-9208.

What is Papa Fall's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Papa Fall enrolled in Medicare?

Yes. Papa Fall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Papa Fall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Papa Fall reassigns Medicare benefits to Madison Psychological And Spiritual Wellness, LLC (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Papa Fall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Papa Fall accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and UnitedHealthcare list Papa Fall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Papa Fall was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.