Provider Demographics
NPI:1164563466
Name:FINER, GREGORY JOSEPH (LCSW CAP)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:JOSEPH
Last Name:FINER
Suffix:
Gender:M
Credentials:LCSW CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2181 17TH ST SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-4707
Mailing Address - Country:US
Mailing Address - Phone:239-692-1020
Mailing Address - Fax:239-330-7168
Practice Address - Street 1:3606 ENTERPRISE AVE STE 300
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-3670
Practice Address - Country:US
Practice Address - Phone:239-692-1020
Practice Address - Fax:305-768-0621
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 76341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL762725400Medicaid