Provider Demographics
NPI:1558662650
Name:FLINT, DEBRA ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANNE
Last Name:FLINT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 EASTBROOK RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-6314
Mailing Address - Country:US
Mailing Address - Phone:412-496-7129
Mailing Address - Fax:
Practice Address - Street 1:2470 EASTBROOK RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-6314
Practice Address - Country:US
Practice Address - Phone:412-496-7129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW017611101YP1600X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral