TIMOTHY J. FLYNN (NPI# 1588757405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588757405 |
| Entity Type | Individual |
| Full Name | TIMOTHY J. FLYNN |
| Credential | M.S. |
| Practice Address |
1415 East Green Bay St. Ste 191 Synergy Counseling Services, Sc Shawano WI 54166-3881 |
| Mailing Address |
1415 East Green Bay St. Ste. 191 Synergy Counseling Services, Sc Shawano WI 54166-3881 |
| Practice Telephone | 7155265466 |
| Practice Fax Number | 7155265545 |
| Mailing Telephone | 7155265466 |
| Mailing Fax Number | 7155265545 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 10996 | WI | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 653125 | WI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 10996-131 | WI | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 653-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11678256 | 01 | |
| WI | 39254500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113886 | Timothy Flynn | Speech-Language Pathologist | 3313 Wyndham Cir Apt 2207, Alexandria, VA 22302-4320 | 2018-08-14 |
| 1326285032 | Timothy J Flynn | Dentist | Calle El Buen Samaritano D-17, Juan Domingo, Guaynabo, PR 00966 | 2009-01-16 |
| 1386893154 | Timothy Michael Patrick Flynn | Nurse Practitioner | 1400 Congress Ave, Suite E1.214, Austin, TX 78701-1932 | 2008-09-16 |
| 1437233038 | Timothy Gerard Flynn | Chiropractor | 1042 W James St, Suite 101, Kent, WA 98032-4606 | 2006-10-24 |
| 1588752976 | Timothy William Flynn | Physical Therapist | 210 W Magnolia St, Suite 110, Fort Collins, CO 80521-2915 | 2006-10-11 |
| 1205850765 | Timothy J Flynn | Internal Medicine | 3059 Edgewood Ave W, Jacksonville, FL 32209-2207 | 2006-07-27 |
| 1174566038 | Timothy M Flynn | Family Medicine | 5665 N Junction Way, Davis Junction, IL 61020 | 2006-06-14 |
| 1285626614 | Timothy R. Flynn | Internal Medicine | 1790 Mulkey Rd Ste 5a, Austell, GA 30106-1122 | 2005-08-22 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| 1245658103 | Timothy Flynn | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-28 |
| Street Address |
1415 EAST GREEN BAY ST., STE 191 SYNERGY COUNSELING SERVICES, SC |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-3881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942607056 | Judy Laude | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-12-04 |
| 1033415955 | Julie T Schroeder | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2011-02-10 |
| 1164688412 | Gary Komp | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-08-05 |
| 1558521187 | Shannon Jean Schmidt | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-06-17 |
| 1417117045 | Teresa Dewey | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423342 | Papa Fall | Social Worker | 2021 Atwood Ave, Madison, WI 53704-5324 | 2020-10-01 |
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1720692056 | Gabrielle Kaiser | Social Worker | 520 University Ave, Madison, WI 53703-4915 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1811500358 | Kristen A Palmer | Social Worker | 3536 52nd St, Kenosha, WI 53144-2662 | 2020-08-25 |
| 1336752773 | Karin Y Luskey | Social Worker | 713 Penny Ln, Hudson, WI 54016-7955 | 2020-08-25 |
| 1114538162 | Anne J Lupo Gondwe | Social Worker | 24178 1st Ave Ste 2, Siren, WI 54872-8220 | 2020-08-13 |
| 1841801172 | Kayla Ruth Jischke | Social Worker | 266 Junction Rd Apt 27, Madison, WI 53717-2645 | 2020-08-11 |
| 1508482647 | Cristin M Burkeland | Social Worker | 629 River St, Belleville, WI 53508-9189 | 2020-06-24 |
| 1568088664 | Jacob Morris | Social Worker | 281 Parkside Dr Apt 123, Whitewater, WI 53190-2220 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.