Provider Demographics
NPI:1437146727
Name:FLYNN, DANIEL F (MSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:F
Last Name:FLYNN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10535 49TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55442-3019
Mailing Address - Country:US
Mailing Address - Phone:763-694-9983
Mailing Address - Fax:
Practice Address - Street 1:4825 HIGHWAY 55
Practice Address - Street 2:SUITE 144
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-5147
Practice Address - Country:US
Practice Address - Phone:763-546-6718
Practice Address - Fax:763-546-6725
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN088531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical