Provider Demographics
NPI:1902269756
Name:FLYNN, VALERIE (LMSW,MSW,MA,BA)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:LMSW,MSW,MA,BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-574-9000
Mailing Address - Fax:203-574-9006
Practice Address - Street 1:30 PECK RD
Practice Address - Street 2:TORRINGTON CLINCIAL SERVICES
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6123
Practice Address - Country:US
Practice Address - Phone:860-626-7007
Practice Address - Fax:860-626-7014
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3173104100000X
CT0711041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060669107OtherUBH-OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY
CT13802948OtherCAQH
CTD339230 TORRINGTONOtherBEACONHEALTH STRATEGIES
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CTNOT ELIGIBLEOtherMHN MANAGE HEALTH NETWORK
CTNOT ELIGIBLEOtherMHN TRICARENORTH
CT060669107OtherOPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
CT060669107OtherUBH UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT071OtherCONNECTICUT STATE DEPT OF EDUCATION-SCHOOL SOCIAL WORKER
CT060669107OtherAETNA BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT060669107OtherUBH-CONNECTICARE WELLMORE GRP/FACILITY
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH
CTPENDINGMedicaid
CT060669107OtherUBH-CONNECTICARE WELLMORE GRP/FACILITY