Provider Demographics
NPI:1417256496
Name:FLANAGAN, LAURA MELANO (LCSW MSW DEGREE)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MELANO
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:LCSW MSW DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 LIVINGSTON ST
Mailing Address - Street 2:APT 14B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5070
Mailing Address - Country:US
Mailing Address - Phone:212-410-9043
Mailing Address - Fax:
Practice Address - Street 1:172 EAST 90 STREET
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-410-9043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR003350-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical