Provider Demographics
NPI:1306841796
Name:LOHMAN-FLYNN, BARBARA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LOHMAN-FLYNN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S CARROLL ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-3608
Mailing Address - Country:US
Mailing Address - Phone:301-639-6067
Mailing Address - Fax:
Practice Address - Street 1:103 S CARROLL ST STE 2B
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-3608
Practice Address - Country:US
Practice Address - Phone:301-639-6067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD061241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD792L876DMedicare ID - Type UnspecifiedMEDICARE