Provider Demographics
NPI:1205073731
Name:FLAHERTY, LYNSEY VANGHEL (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:LYNSEY
Middle Name:VANGHEL
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:88 COTTSWOLD LN
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-7053
Mailing Address - Country:US
Mailing Address - Phone:203-258-2571
Mailing Address - Fax:910-436-5343
Practice Address - Street 1:810 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-2140
Practice Address - Country:US
Practice Address - Phone:910-916-7881
Practice Address - Fax:910-436-5343
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063171041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical