Provider Demographics
NPI:1194612119
Name:FLANAGAN, CATHY (LISW-S)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2941 HAUGHTON DR UNIT 2522
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3541
Mailing Address - Country:US
Mailing Address - Phone:419-270-8559
Mailing Address - Fax:
Practice Address - Street 1:2941 HAUGHTON DR UNIT 2522
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3541
Practice Address - Country:US
Practice Address - Phone:419-270-8559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-2203888-SUPV104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker