Provider Demographics
NPI:1902315559
Name:FLYNN, MARGARET O'BRIEN (LSW, LICDC)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:O'BRIEN
Last Name:FLYNN
Suffix:
Gender:F
Credentials:LSW, LICDC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:O'BRIEN
Other - Last Name:IVERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5350 TRANSPORTATION BLVD STE 22
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5307
Mailing Address - Country:US
Mailing Address - Phone:216-877-6797
Mailing Address - Fax:
Practice Address - Street 1:5350 TRANSPORTATION BLVD STE 22
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5307
Practice Address - Country:US
Practice Address - Phone:440-567-3316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.162272101YA0400X
OHS.23088001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)