Provider Demographics
NPI:1548976079
Name:FLYNN, ERINN (LCSW)
Entity type:Individual
Prefix:
First Name:ERINN
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 LUTHY PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-3840
Mailing Address - Country:US
Mailing Address - Phone:505-485-4885
Mailing Address - Fax:505-212-6612
Practice Address - Street 1:1712 LUTHY PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-3840
Practice Address - Country:US
Practice Address - Phone:505-485-4885
Practice Address - Fax:505-212-6612
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-111361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical