Provider Demographics
NPI:1356344899
Name:FLAX, ARTHUR (LCSW-C)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:FLAX
Suffix:
Gender:M
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 1:6126 GREEN MEADOW PKWY APT D
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3349
Mailing Address - Country:US
Mailing Address - Phone:410-653-6300
Mailing Address - Fax:410-653-6300
Practice Address - Street 1:6126 GREEN MEADOW PKWY APT D
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3349
Practice Address - Country:US
Practice Address - Phone:410-653-6300
Practice Address - Fax:410-653-6300
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-28
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA030101YA0400X
MDLCO531101YM0800X, 101YP2500X
MD171WH0202X
332B00000X, 347C00000X
MD054781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171WH0202XOther Service ProvidersContractorHome Modifications
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD116541101Medicaid