Organization Active NPI

Lauren Flynn LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1679923882
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19376 Issued in MD
Legal business name
LAUREN FLYNN LLC
Practice address
1001 Pine Heights Avenue
Suite 302
Baltimore, MD 21229
Phone
(443) 827-5717
Fax
(443) 636-5385
NPI assigned
Jun 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lauren Beth Flynn, LCSW-C
Title
Therapist
Phone
(443) 827-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 19376 MD Primary

Addresses

Primary practice location

1001 Pine Heights Avenue
Suite 302
Baltimore, MD 21229

Mailing address

1001 Pine Heights Avenue
Suite 302
Baltimore, MD 21229
Phone (443) 827-5717

Other identifiers 1

IdentifierTypeStateIssuer
119807600MedicaidMD

National Provider Directory

National Provider Directory

Locations

1001 Pine Heights Ave
Ste 302
Baltimore, MD 21229
Phone (410) 744-5499

730 Frederick Rd
Ste 203
Catonsville, MD 21228
Phone (443) 221-9877

NPI Registry JSON

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1679923882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVENUE",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "443-827-5717",
            "fax_number": "443-636-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVENUE",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "443-827-5717",
            "fax_number": "443-636-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN FLYNN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-18",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "443-827-5717",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119807600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.