Provider Demographics
NPI:1205058633
Name:FLYNN-CROWE, ANN MARIE (MSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:FLYNN-CROWE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 S FERNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-6016
Mailing Address - Country:US
Mailing Address - Phone:605-940-1187
Mailing Address - Fax:
Practice Address - Street 1:3220 W 57TH ST
Practice Address - Street 2:STE 100A
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-3146
Practice Address - Country:US
Practice Address - Phone:605-334-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD20641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical