Provider Demographics
NPI:1083149900
Name:FALCO, GABRIELLE ILONA (LCSW, LCADC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ILONA
Last Name:FALCO
Suffix:
Gender:
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2476
Mailing Address - Country:US
Mailing Address - Phone:908-917-3920
Mailing Address - Fax:
Practice Address - Street 1:323 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2476
Practice Address - Country:US
Practice Address - Phone:908-917-3920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059055001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical