Provider Demographics
NPI:1467578088
Name:FLYNN, STEPHANIE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:ANN
Other - Last Name:EDINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2701 S CARAWAY RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7304
Mailing Address - Country:US
Mailing Address - Phone:870-926-5710
Mailing Address - Fax:870-292-3431
Practice Address - Street 1:2701 S CARAWAY RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7304
Practice Address - Country:US
Practice Address - Phone:870-926-5710
Practice Address - Fax:870-292-3431
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4995-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical