| Doctor Name: | MICHAEL ELLIOT FALCK |
| NPI Number: | 1093999062 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW, CPRP, MA |
| License Number: | 16706 |
| Business Practice Address: | 5615 Brooklyn Blvd Ste 200 Brooklyn Center, MN - 554293086 |
| Business Phone Number: | 7635376612 |
| Business Fax Number: | 7635377162 |
| Mailing Address: | 5615 Brooklyn Blvd Ste 200, BROOKLYN CENTER |
| State: | MN |
| Postal Code: | 554293086 |
| Phone Number: | 7635376612 |
| Fax Number: | 7635377162 |
| NPI Enumeration Date: | 12/26/2007 |
| NPI Last Update Date: | 12/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 16706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |