Healthcare Provider Details

I. General information

NPI: 1588078562
Provider Name (Legal Business Name): MEGAN FLYNN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7988 OLD GEORGETOWN RD SUITE 8A
BETHESDA MD
20814-2481
US

IV. Provider business mailing address

7988 OLD GEORGETOWN RD SUITE 8A
BETHESDA MD
20814-2481
US

V. Phone/Fax

Practice location:
  • Phone: 301-337-0693
  • Fax: 301-718-4545
Mailing address:
  • Phone: 301-337-0693
  • Fax: 301-718-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17390
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: