Provider Demographics
NPI:1497838353
Name:FLACKS, HENRY R (LCSW)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:R
Last Name:FLACKS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W 24TH ST
Mailing Address - Street 2:APT. #16H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1502
Mailing Address - Country:US
Mailing Address - Phone:212-242-3144
Mailing Address - Fax:
Practice Address - Street 1:244 5TH AVE
Practice Address - Street 2:SUITE #8H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7604
Practice Address - Country:US
Practice Address - Phone:212-685-3665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR039881-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP1311349OtherOXFORD HEALTH PLAN ID
NYP1311349OtherOXFORD HEALTH PLAN ID