Active NPI
Erinn Flynn, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1548976079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-11136
- Practice address
- 1712 Luthy PL NE
Albuquerque, NM 87112-3840 - Phone
- (505) 485-4885
- Fax
- (505) 212-6612
- NPI assigned
- Jan 27, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-11136 | NM | Primary |
Addresses
Primary practice location
1712 Luthy PL NE
Albuquerque, NM 87112-3840
Mailing address
1712 Luthy PL NE
Albuquerque, NM 87112-3840
Phone (505) 485-4885
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 |
|---|---|---|---|
| C-11136 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1548976079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 LUTHY PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123840",
"telephone_number": "505-485-4885",
"fax_number": "505-212-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 LUTHY PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123840",
"telephone_number": "505-485-4885",
"fax_number": "505-212-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "ERINN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-11136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.