Healthcare Provider Details

I. General information

NPI: 1225408370
Provider Name (Legal Business Name): ALISON FLYNT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 W 11TH ST STE 101
NEW YORK NY
10014-2212
US

IV. Provider business mailing address

50 OCEAN PKWY APT 6G
BROOKLYN NY
11218-1539
US

V. Phone/Fax

Practice location:
  • Phone: 908-531-9301
  • Fax:
Mailing address:
  • Phone: 908-531-9301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number096335
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number088411
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: