GARY M FLYNN (LICSW) – Clinical Social Worker, NPI 1710046669

GARY M FLYNN (LICSW) is a healthcare provider. based in Winona, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 7343 (MN). The NPI Number for GARY M FLYNN (LICSW) is 1710046669

Main info

Male
Sole Proprietor
58 Years Of Experience
Accepts Medicare Assignment
Name
GARY M FLYNN (LICSW)
NPI
1710046669
Phone
(507) 454-3880
Address
PO BOX 323
Enumeration Date
6 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5074525033
Graduation Year
1968 (58 years ago)
PAC ID
1557378080
Group Practice PAC ID
3678622784
Professional Enrollment ID
I20060308000619
Address ID
MN559875532WI111XXSTXX307
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for GARY M FLYNN (LICSW)

  • PO BOX 323

    WINONA, MN 559870323

    Phone: (507) 454-3880

    Fax: (507) 474-0383

    Type: Mailing

  • 506, West 5th Street, Winona, Winona County, Minnesota, 55987, United States

    WINONA, MN 55987

    Phone: (507) 454-3880

    Fax: (507) 474-0383

    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: 2006-03-08

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
I20060308000619IClinical Social WorkerMNTBD

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 55987)

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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: 3678622784View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorWI
Mental Health CounselorWI
Clinical Social WorkerIL
Mental Health CounselorWI
Clinical Social Worker, Marriage And Family TherapistMN
Clinical Social WorkerWI
Clinical Social WorkerMN
Clinical Social WorkerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for GARY M FLYNN (LICSW)?
GARY M FLYNN (LICSW) — NPI 1710046669 — is the standard way to identify this listing.
Is GARY M FLYNN (LICSW) still practicing?
GARY M FLYNN (LICSW) is currently listed as active in the public NPI registry.
What healthcare role does GARY M FLYNN (LICSW) hold?
Scheduling teams often label GARY M FLYNN (LICSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does GARY M FLYNN (LICSW) serve?
GARY M FLYNN (LICSW)'s listing highlights Winona, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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