Individual provider Active NPI

Lynne M Flanders, LICSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1174698641
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4013 Issued in ND
Practice address
1308 23Rd St S
Suite G
Fargo, ND 58103-3707
Phone
(701) 297-7540
Fax
(701) 297-6439
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4013 ND Primary

Addresses

Primary practice location

1308 23Rd St S
Suite G
Fargo, ND 58103-3707

Mailing address

1308 23Rd St S
Suite G
Fargo, ND 58103-3707
Phone (701) 297-7540

Other identifiers 5

IdentifierTypeStateIssuer
PENDINGOtherUNITED BEHAVIORAL HEALTH
PENDINGOtherHEALTHPARTNERS
PENDINGMedicaidND
PENDINGOtherMN BCBS
PENDINGOtherNDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4013NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
We Psychiatric Services PLLC PastSince Jun 1, 1990 Accepting new patients
University of Arkansas for Medical Sciences PastSince Jan 1, 1990 Accepting new patients
Benson Psychological Services PC PastSince Jan 1, 2026 Accepting new patients
Senior Resolution Resources, Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1174698641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 23RD ST S",
            "address_2": "SUITE G",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033707",
            "telephone_number": "701-297-7540",
            "fax_number": "701-297-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 23RD ST S",
            "address_2": "SUITE G",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033707",
            "telephone_number": "701-297-7540",
            "fax_number": "701-297-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANDERS",
        "first_name": "LYNNE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "PENDING",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "PENDING",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "PENDING",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDBCBS",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.