Provider Demographics
NPI:1508382581
Name:FLYNN, SHEENA LEIGH (LCSW-R)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:LEIGH
Last Name:FLYNN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:SHEENA
Other - Middle Name:LEIGH
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:859 68TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220
Mailing Address - Country:US
Mailing Address - Phone:917-361-6055
Mailing Address - Fax:718-680-6889
Practice Address - Street 1:PARK SLOPE CENTER FOR MENTAL HEALTH 348 13TH STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:PARK SLOPE
Practice Address - State:NY
Practice Address - Zip Code:11215-1122
Practice Address - Country:US
Practice Address - Phone:718-788-2461
Practice Address - Fax:718-788-8274
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0694681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical