Healthcare Provider Details

I. General information

NPI: 1558662650
Provider Name (Legal Business Name): DEBRA ANNE FLINT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 06/13/2020
Certification Date: 06/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 EASTBROOK RD
NEW CASTLE PA
16105-6314
US

IV. Provider business mailing address

2470 EASTBROOK RD
NEW CASTLE PA
16105-6314
US

V. Phone/Fax

Practice location:
  • Phone: 412-496-7129
  • Fax:
Mailing address:
  • Phone: 412-496-7129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberCW017611
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017611
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: