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KELLY FALLON MSW, LISW-S, LCSW
NPI 1194119941
Social Worker - Clinical in Erlanger, KY

Active since March 18, 2015PECOS Enrolled
4220 HOUSTON RD, ERLANGER, KY 41018(502) 262-2887 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 18, 2020, Apr 23, 2019 (2 updates tracked since 2019).

About Kelly Fallon Msw, Lisw-s, Lcsw NPPES

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

KELLY FALLON MSW, LISW-S, LCSW (NPI 1194119941) is an individual clinical provider in Erlanger, Kentucky, licensed in Kentucky (254010) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194119941
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY FALLONCredential: MSW, LISW-S, LCSW
Location Address4220 HOUSTON RDErlanger, KY 41018-3402
Mailing Address8665 Tudor CtCincinnati, OH 45242-7836 · (513) 771-7239
Phone(502) 262-2887
Sole ProprietorNo
Enumeration DateMarch 18, 2015
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1194119941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KY · 254010✔ Licensed in OH · I.1201146-SUPV
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 254010 (KY)
4220 HOUSTON RD, Erlanger, KY 41018
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Other Identifiers 2

Medicaid7100660700KY
Medicaid0176667OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Kelly Fallon Msw, Lisw-s, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelly Fallon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindfully, LLC
21 mi
Counselor
1251 NILLES RD STE 5
Fairfield, OH 45014
  • Reassigned Medicare billing, Ohio enrollment
  • 134 clinicians in this Medicare group
NPI 1972702520 (513) 939-0300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

TYLER J RYAN
Psychologist (Clinical)
4220 HOUSTON RD
ERLANGER, KY 41018
Kenton County (859) 727-6700
LEAH MARTIN COTA/L
Occupational Therapy Assistant
4220 HOUSTON RD
ERLANGER, KY 41018
Kenton County (859) 727-6700
NICOLE L BACK
Physical Therapist
4220 HOUSTON RD
ERLANGER, KY 41018
Kenton County (859) 727-6700

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 Kelly Fallon's NPI number?

The NPI number for Kelly Fallon is 1194119941. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Kelly Fallon located?

Kelly Fallon practices at 4220 Houston Rd, Erlanger, KY 41018. The listed phone number is (502) 262-2887.

What is Kelly Fallon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Fallon enrolled in Medicare?

Yes. Kelly Fallon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Fallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fallon reassigns Medicare benefits to Mindfully, LLC (Fairfield, OH). 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 Kelly Fallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Fallon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 1 other insurer list Kelly Fallon 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 Kelly Fallon was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.