Provider Demographics
NPI:1033367875
Name:FINICLE, DONNA MARGUERITE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARGUERITE
Last Name:FINICLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 7217
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-1062
Mailing Address - Country:US
Mailing Address - Phone:719-439-3621
Mailing Address - Fax:
Practice Address - Street 1:471 S BALDWIN ST
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-3163
Practice Address - Country:US
Practice Address - Phone:719-439-3621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9923851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical