Individual provider Active NPI

Debra O Flynn, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1356629927
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3543 Issued in KY
Practice address
1310 W Main St
Lexington, KY 40508-2048
Phone
(859) 253-1993
Fax
(859) 255-1134
NPI assigned
Jul 29, 2011
Last updated
Jul 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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 3543 KY Primary

Addresses

Primary practice location

1310 W Main St
Lexington, KY 40508-2048

Mailing address

1310 W Main St
Lexington, KY 40508-2048
Phone (859) 253-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021002293 KY Practitioner - Clinical Social Worker 3375931454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Wellness GroupGroup PAC ID 2668630641, 7 clinicians

Practice addresses (Care Compare)

2401 Regency Rd
Suite 101
Lexington, KY 40503-2914
Phone (859) 309-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3543KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness Group Clinical CurrentSince Oct 19, 2021 Accepting new patients
Catholic Charities of the Diocese of Lexington, Inc PastSince Dec 5, 2021 Accepting new patients
Catholic Charities Past Accepting new patients

Locations

2401 Regency Rd
Ste 101
Lexington, KY 40503
Phone (859) 309-0309

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1356629927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082048",
            "telephone_number": "859-253-1993",
            "fax_number": "859-255-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082048",
            "telephone_number": "859-253-1993",
            "fax_number": "859-255-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DEBRA",
        "middle_name": "O",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.