Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Destry P. Fallen , LISW-S

Social Worker • Dayton, OH

Active NPI 1235440397 Individual Practitioner Male Practitioner
Practice location in NPPES

1 Childrens Plz
Dayton, OH 454041898

Call 9376415300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Childrens Plz

Dayton, OH 454041898

Telephone 9376415300
Fax 9376415134
Organization at the Same NPPES Address or Phone
Dayton Children's Orthopaedic Center For Spinal & Pediatric Care, Llc Facility NPI 1124021324

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

411 active clinicians are listed under Social Worker with a practice address in Dayton, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0.5% of these 411 clinicians have the CMS telehealth indicator.

1.2% of these 411 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH I.0005409-SUPV

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES OH I.0005409-SUPV

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Lubabatu Abdurrahman , MD

Pediatrics - Pediatric Cardiology

NPI 1437156973

Doctor of Medicine (M.D.)

Dr. Rajkumar Agarwal , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1568795425

Doctor of Medicine (M.D.)

Dr. Michael Albert , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1508807793

Doctor of Medicine (M.D.)

Dr. Fatu Bangura , MD

Anesthesiology - Pediatric Anesthesiology

NPI 1871988675

Doctor of Medicine (M.D.)

Dr. Robert Bloom , MD

Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist

NPI 1578512893

Doctor of Medicine (M.D.)

Dr. Paul Breyer , MD

Pediatrics - Pediatric Endocrinology

NPI 1649343351

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated June 23, 2010.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1235440397
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2010
Last Update: June 30, 2010
Sole Proprietor: Yes

Mailing Address

1 Childrens Plz

Dayton, OH 454041898

Phone: 9376415300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.