Active NPI
Michael P Flynn, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1457341216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000571
- Practice address
- 1901 Huguenot Rd
Ste 201
Richmond, VA 23235-4311 - Phone
- (804) 257-0912
- Fax
- (804) 378-2078
- NPI assigned
- Oct 24, 2005
- Last updated
- May 26, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000571 | VA | Primary |
Addresses
Primary practice location
1901 Huguenot Rd
Ste 201
Richmond, VA 23235-4311
Mailing address
PO Box 35395
Richmond, VA 23235-0395
Phone (804) 257-0912
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008908559 | Medicaid | VA | |
| 205537 | Other | VA | TRICARE |
| 050502 | Other | VA | BCBS |
| 245957000 | Other | VA | MAGELLAN BEHAVIORAL HEALTH |
| O85750 | Other | VA | OPTIMA |
| 008936536 | Medicaid | VA | |
| 031984 | Other | VA | VALUE OPTIONS |
| 222422 | Other | VA | BCBS |
| 205537 | Other | VA | MHN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Light Counseling, Inc. | Clinical | Current | Accepting new patients |
| Resource Guidance Services Inc | Clinical | Past | Accepting new patients |
Locations
12000 Wyndham Lake Dr
Ste B
Glen Allen, VA 23059
Phone (804) 378-3364
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Richmond, VA
- NPI 1679769533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211760000000",
"number": "1457341216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35395",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232350395",
"telephone_number": "804-257-0912",
"fax_number": "804-378-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HUGUENOT RD",
"address_2": "STE 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354311",
"telephone_number": "804-257-0912",
"fax_number": "804-378-2078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2008-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008908559",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "205537",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "050502",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALTH",
"identifier": "245957000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "O85750",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008936536",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "031984",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "222422",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "205537",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Tanisha Lashall Flowers, MSN, AGACNP-BC
- Flowpeace LLC (cornerstones)
- Jennifer Gardner Floyd, PT
- Steven Romell Floyd Jr., LPC. LMHP
- Megan Elizabeth Flynn, RD
- Patricia Young Flynn, ED.D.
- Hannah Fockler, PA-C, MPH
- Focus (Following Ones Course Until Successful) Inc.
- Focus Inc (Following Ones Course Until Successful)
- Focus Medical Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.