Gary M Flynn, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7343 Issued in MN

Practice address

506 W 5TH St
Winona, MN 55987

Phone

(507) 454-3880

Fax

(507) 474-0383

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling AssociatesGroup PAC ID 3678622784, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Associates

  • Community/Behavioral Health Agency
  • Winona, MN
  • NPI 1063686970
  Medicare reassignment Care Compare group NPD
• Gary M Flynn

  • Clinical Social Worker
  • Winona, MN
  • NPI 1760541429
  NPD (past) Authorized official
• Counseling Associates

  • Multi-Specialty Clinic/Center
  • Lacrosse, WI
  • NPI 1629382825
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710046669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559870323",
            "telephone_number": "507-454-3880",
            "fax_number": "507-474-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W 5TH ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "55987",
            "telephone_number": "507-454-3880",
            "fax_number": "507-474-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "7343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "30480FL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Flanagan
• Adam C Fletcher, MD
• April Jeanett Flores-Franco
• Diana Lidia Flores-Rodriguez
• Jackson Dean Flottmeyer
• Katlyn Fochs
• Moira Grace Ford
• Jennifer Jean Forsyth, D.O.
• Heath Phillip Foss
• Madelyn Foster

• Clinical Social Worker in Winona, MN
• Providers in Winona, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.