Provider Demographics
NPI:1255913810
Name:FLYNN, ALEXANDRA (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HONEYSTONE CT
Mailing Address - Street 2:
Mailing Address - City:BROOKEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20833-3210
Mailing Address - Country:US
Mailing Address - Phone:240-477-2586
Mailing Address - Fax:
Practice Address - Street 1:913 OLNEY SANDY SPRING RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRING
Practice Address - State:MD
Practice Address - Zip Code:20860-1318
Practice Address - Country:US
Practice Address - Phone:301-570-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD268951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical