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MRS. STACEY SERRELL FALLON LCSW
NPI 1659120913
Counselor - Mental Health in Leland, NC

Active since May 17, 2024
1110 WALBURY CT, LELAND, NC 28451(703) 220-2489(703) 220-2489 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, May 17, 2024 (2 updates tracked since 2024).

About Mrs. Stacey Serrell Fallon Lcsw NPPES

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

MRS. STACEY SERRELL FALLON LCSW (NPI 1659120913) is an individual mental health provider in Leland, North Carolina, licensed in Virginia (0904013359) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1659120913
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. STACEY SERRELL FALLONCredential: LCSW
Location Address1110 WALBURY CTLeland, NC 28451-4169
Mailing Address6688 Stonebrook DrClifton, VA 20124-2538 · (703) 220-2489
Phone(703) 220-2489
Fax(703) 220-2489
Sole ProprietorYes
Enumeration DateMay 17, 2024
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1659120913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0904013359
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C017292 (NC)
1110 WALBURY CT, Leland, NC 28451
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Stacey Fallon's NPI number?

The NPI number for Stacey Fallon is 1659120913. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Stacey Fallon located?

Stacey Fallon practices at 1110 Walbury Ct, Leland, NC 28451. The listed phone number is (703) 220-2489.

What is Stacey Fallon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Stacey Fallon accept?

Health plans from Blue Cross and Blue Shield of NC list Stacey 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 Stacey Fallon was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.