Active NPI
Lauren Flynn LLC
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1679923882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19376
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119807600 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.