MICHELLE FLYNN (LCSW) – Clinical Social Worker, NPI 1215403563

MICHELLE FLYNN (LCSW) is a healthcare provider. based in North port, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW14801 (FL). The NPI Number for MICHELLE FLYNN (LCSW) is 1215403563

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE FLYNN (LCSW)
NPI
1215403563
Phone
Not provided
Address
4781 ANDRIS ST
Enumeration Date
14 October 2018
Last Update Date
14 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7862447711
Graduation Year
2003 (23 years ago)
PAC ID
0244607646
Group Practice PAC ID
3476961368
Professional Enrollment ID
I20221027001053
Address ID
FL331301807MI66XXXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for MICHELLE FLYNN (LCSW)

  • 4781, Andris Street, North Port, Sarasota County, Florida, 34288, United States

    NORTH PORT, FL 342887307

    Phone:

    Type: Mailing

  • Laurel Nokomis School, 1900, Laurel Road East, Venice, Sarasota County, Florida, 34275, United States

    NOKOMIS, FL 342753212

    Phone: (941) 486-2171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221027001053IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34288)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476961368View full group profile
NameSpecialtyState
Clinical PsychologistMT
Clinical PsychologistLA
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Certified Nurse Midwife (Cnm)FL
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the standard ID for MICHELLE FLYNN (LCSW) in the U.S.?
In the U.S., MICHELLE FLYNN (LCSW) is identified by NPI 1215403563.
Is MICHELLE FLYNN (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists MICHELLE FLYNN (LCSW) as active.
What services align with MICHELLE FLYNN (LCSW)'s listing?
MICHELLE FLYNN (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MICHELLE FLYNN (LCSW) tied to North Port, Florida?
If you are local to North Port, Florida, MICHELLE FLYNN (LCSW) may be relevant to your search.
Who maintains MICHELLE FLYNN (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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