Provider Demographics
NPI:1407255490
Name:FINAGAN, BREANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:BREANNE
Middle Name:
Last Name:FINAGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BREANNE
Other - Middle Name:
Other - Last Name:FINAGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:282 HOLDEN ST
Mailing Address - Street 2:
Mailing Address - City:WEST WYOMING
Mailing Address - State:PA
Mailing Address - Zip Code:18644-1509
Mailing Address - Country:US
Mailing Address - Phone:570-396-3230
Mailing Address - Fax:
Practice Address - Street 1:282 HOLDEN ST
Practice Address - Street 2:
Practice Address - City:WEST WYOMING
Practice Address - State:PA
Practice Address - Zip Code:18644-1509
Practice Address - Country:US
Practice Address - Phone:570-396-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0204801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical