Provider Demographics
NPI:1447271580
Name:FLOWERS, SUSAN M (LISW)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:M
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW, LCSW
Mailing Address - Street 1:434 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41014
Mailing Address - Country:US
Mailing Address - Phone:859-547-5767
Mailing Address - Fax:
Practice Address - Street 1:434 SCOTT ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2342
Practice Address - Country:US
Practice Address - Phone:859-547-5767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH050000651041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical