Provider Demographics
NPI:1417059015
Name:FINCHER, STACY MCCRARY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:MCCRARY
Last Name:FINCHER
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 1:4109 PETERSBURG DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-1874
Mailing Address - Country:US
Mailing Address - Phone:903-520-5780
Mailing Address - Fax:
Practice Address - Street 1:4109 PETERSBURG DR
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-1874
Practice Address - Country:US
Practice Address - Phone:903-520-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX277161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177700501Medicaid
TX8G1708Medicare PIN