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FALLYN JOAN NICHOLSON MSW, LICSW
NPI 1720878192
Social Worker - Clinical in Virginia, MN

Active since May 08, 2025PECOS EnrolledAccepts Medicare Assignment
624 13TH ST S, VIRGINIA, MN 55792(218) 749-2881 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fallyn Joan Nicholson Msw, Licsw NPPES

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

FALLYN JOAN NICHOLSON MSW, LICSW (NPI 1720878192) is an individual clinical provider in Virginia, Minnesota, licensed in Minnesota (27732) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720878192
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameFALLYN JOAN NICHOLSONCredential: MSW, LICSW
Location Address624 13TH ST SVirginia, MN 55792-3149
Mailing Address44714 State Highway 65Nashwauk, MN 55769-4464 · (218) 929-3027
Phone(218) 749-2881
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1720878192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 27732
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.
624 13TH ST S, Virginia, MN 55792
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fallyn Joan Nicholson Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709397425
PECOS Enrollment IDI20250618002195
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55792 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 16

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

REBECCA LEADERS MS
Marriage & Family Therapist
624 13TH ST S
VIRGINIA, MN 55792
St. Louis County (218) 749-2881
BROOKE L. ZUPANCICH MS, LPCC
Counselor (Mental Health)
624 13TH ST S
VIRGINIA, MN 55792
St. Louis County (218) 749-2881
DREW S. FLASCHBERGER MSE, LPCC
Counselor (Mental Health)
624 13TH ST S
VIRGINIA, MN 55792
St. Louis County (218) 749-2881
ENRICO THOMAS WELSCH MSW
Social Worker (Clinical)
624 13TH ST S
VIRGINIA, MN 55792
St. Louis County (218) 749-2881
KRISTIN GILDSETH ERIE MSSW, LGSW
Social Worker (Clinical)
624 13TH ST S, RANGE MENTAL HEALTHCENTER
VIRGINIA, MN 55792
St. Louis County (218) 749-2881
CASSANDRA LEE KOTNIK MSW, LICSW
Social Worker (Clinical)
624 13TH ST S
VIRGINIA, MN 55792
St. Louis County (218) 749-2881
TAYLOR WESTIN LICSW
Social Worker (Clinical)
624 13TH ST S
VIRGINIA, MN 55792
St. Louis County (218) 749-2881
KATHLEEN UDOVICH APRN
Nurse Practitioner (Psychiatric/Mental Health)
624 13TH ST S
VIRGINIA, MN 55792
St. Louis County (218) 749-2881

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 Fallyn Nicholson's NPI number?

The NPI number for Fallyn Nicholson is 1720878192. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Fallyn Nicholson located?

Fallyn Nicholson practices at 624 13th St S, Virginia, MN 55792. The listed phone number is (218) 749-2881.

What is Fallyn Nicholson's specialty?

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

Is Fallyn Nicholson enrolled in Medicare?

Yes. Fallyn Nicholson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fallyn Nicholson accept?

Health plans from HealthPartners list Fallyn Nicholson 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 Fallyn Nicholson was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.