TIMOTHY J. FLYNN M.S. NPI 1588757405

NPI Information

NPI: 1588757405
Provider Name: TIMOTHY J. FLYNN, M.S.
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
1415 EAST GREEN BAY ST.,
STE 191 SYNERGY COUNSELING SERVICES, SC
SHAWANO, WI
ZIP 54166
Phone: (715) 526-5466
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Timothy J. Flynn, M.S. is a social worker in Shawano, WI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Timothy J. Flynn, M.S. NPI is 1588757405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1415 EAST GREEN BAY ST.,
STE 191 SYNERGY COUNSELING SERVICES, SC
SHAWANO, WI
ZIP 54166-881
Phone: (715) 526-5466
Fax: (715) 526-5545

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	104100000X	Social Worker	10996-131	WISCONSIN	No
2	101Y00000X	Counselor	653125	WISCONSIN	No
3	101Y00000X	Counselor	10996	WISCONSIN	No
4	104100000X	Social Worker	653-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11678256	OTHER		CAQH
2	39254500	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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