Doctor Name: | KELLY FINCH |
NPI Number: | 1013020635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149008958 |
Business Practice Address: | 5301 E State St Suite 302 Rockford, IL - 611082901 |
Business Phone Number: | 8152229485 |
Business Fax Number: | 8159775929 |
Mailing Address: | 5301 E State St, Suite 302 ROCKFORD |
State: | IL |
Postal Code: | 611082901 |
Phone Number: | 8152229485 |
Fax Number: | 8159775929 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149008958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |