Active NPI
Michelle Ann Flynn, LSW
- Social Worker
- Independence, OH
National Provider Identifier
1295027464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S31520
- Practice address
- 6200 Rockside Woods Blvd N Ste 305
Independence, OH 44131-2343 - Phone
- (216) 385-2639
- NPI assigned
- May 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S31520 | OH | Primary |
Addresses
Primary practice location
6200 Rockside Woods Blvd N Ste 305
Independence, OH 44131-2343
Mailing address
3737 Lander Rd
Cleveland, OH 44124-5712
Phone (216) 881-2255
Other practice location 1
3737 Lander Rd
Cleveland, OH 44124-5712
Phone (216) 881-2255
Other practice location 2
3737 Lander Rd
Cleveland, OH 44124
Phone (216) 881-2255
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S31520 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1295027464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 LANDER RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441245712",
"telephone_number": "216-881-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 ROCKSIDE WOODS BLVD N STE 305",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312343",
"telephone_number": "216-385-2639"
}
],
"practiceLocations": [
{
"address_1": "3737 Lander Rd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441245712",
"country_code": "US",
"telephone_number": "216-881-2255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3737 Lander Rd",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44124",
"country_code": "US",
"telephone_number": "216-881-2255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLYNN",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S31520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.