Healthcare Provider Details

I. General information

NPI: 1801300983
Provider Name (Legal Business Name): RACHEL FLYNN LCSW, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2017
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 N ARTHUR ASHE BLVD
RICHMOND VA
23220-4304
US

IV. Provider business mailing address

10113 CHRISTIANO DR
GLEN ALLEN VA
23060-3710
US

V. Phone/Fax

Practice location:
  • Phone: 703-249-9890
  • Fax:
Mailing address:
  • Phone: 302-824-9676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0710103364
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0906013876
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: