Provider Demographics
NPI:1679353205
Name:DESSINGER-FLYNN, NICHOLE M (LLSW)
Entity type:Individual
Prefix:MS
First Name:NICHOLE
Middle Name:M
Last Name:DESSINGER-FLYNN
Suffix:
Gender:F
Credentials:LLSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15222 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1314
Mailing Address - Country:US
Mailing Address - Phone:313-265-0441
Mailing Address - Fax:
Practice Address - Street 1:15222 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE PARK
Practice Address - State:MI
Practice Address - Zip Code:48230-1314
Practice Address - Country:US
Practice Address - Phone:313-265-0441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical