Individual
DEIDRE FLANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134407
VT
1041C0700X
Clinical Social Worker
0910090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
02/18/2014
Last updated
02/24/2026
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