Provider Demographics
NPI:1083376461
Name:FLYNN, MARGUERITE ANNE (MSSW, LCSW)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:ANNE
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5217 MARYLAND WAY STE 307
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1056
Mailing Address - Country:US
Mailing Address - Phone:615-882-1792
Mailing Address - Fax:615-807-3714
Practice Address - Street 1:5217 MARYLAND WAY STE 307
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1056
Practice Address - Country:US
Practice Address - Phone:615-882-1792
Practice Address - Fax:615-807-3714
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0002248991041C0700X
TN89381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical