Healthcare Provider Details

I. General information

NPI: 1205509155
Provider Name (Legal Business Name): ALYSON FLINT MSW, LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 S NEW HOPE RD
GASTONIA NC
28056-8324
US

IV. Provider business mailing address

3659 SAINT ANDREWS LN
GASTONIA NC
28056-7571
US

V. Phone/Fax

Practice location:
  • Phone: 704-914-7038
  • Fax:
Mailing address:
  • Phone: 980-292-2481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP016518
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: