Provider Demographics
NPI:1316395205
Name:FINNEY, ERICA LYNNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LYNNE
Last Name:FINNEY
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 1:1132 LOVEJOY ST
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83401-2845
Mailing Address - Country:US
Mailing Address - Phone:208-821-2623
Mailing Address - Fax:
Practice Address - Street 1:404 N 2ND E
Practice Address - Street 2:
Practice Address - City:REXBURG
Practice Address - State:ID
Practice Address - Zip Code:83440-1608
Practice Address - Country:US
Practice Address - Phone:208-359-1770
Practice Address - Fax:208-359-1780
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-400851041C0700X
ID35832104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical