Active NPI
Christopher John Flanagan, MSW, LCSW, LCAS
- Clinical Social Worker
- Henderson, NC
National Provider Identifier
1649318510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 300 W Parkview Dr
Henderson, NC 27536-5954 - Phone
- (919) 433-0170
- Fax
- (919) 226-0026
- NPI assigned
- Feb 2, 2007
- Last updated
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1176 | NC | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
300 W Parkview Dr
Henderson, NC 27536-5954
Mailing address
3 Mountain Lake CT
Durham, NC 27713-8912
Phone (919) 339-6606
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 |
|---|---|---|---|
| 1176 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1649318510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MOUNTAIN LAKE CT",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138912",
"telephone_number": "919-339-6606",
"fax_number": "919-438-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W PARKVIEW DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365954",
"telephone_number": "919-433-0170",
"fax_number": "919-226-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MSW, LCSW, LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1176",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
- Shawntay Theresa Fenyo Woods, LCPC
- Latoya Nichelle Fields, CNA
- Frances Veronica Finamore, L.P.C
- Firm Foundations Health Services, Inc.
- Five Star Physical Therapy, Inc
- Focusing on Families, Inc.
- Wayne Alexander Fonvielle III, M.A.
- Food Lion LLC (Food Lion Pharmacy #1228)
- Food Lion, LLC (Food Lion Pharmacy #1660)
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.