Healthcare Provider Details

I. General information

NPI: 1881253631
Provider Name (Legal Business Name): LAUREN ELIZABETH FLYNN LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 VALLEY WEST DR STE 207
WEST DES MOINES IA
50266-1908
US

IV. Provider business mailing address

14737 STONECROP DR
URBANDALE IA
50323-1219
US

V. Phone/Fax

Practice location:
  • Phone: 515-216-0165
  • Fax:
Mailing address:
  • Phone: 319-899-2563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number088389
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number000923120
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: