Provider Demographics
NPI:1417354168
Name:FINZEL, CALLIE (MT-BC, LLMSW)
Entity Type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:FINZEL
Suffix:
Gender:F
Credentials:MT-BC, LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 N CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3430
Mailing Address - Country:US
Mailing Address - Phone:734-474-2580
Mailing Address - Fax:
Practice Address - Street 1:2115 N CIRCLE DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3430
Practice Address - Country:US
Practice Address - Phone:734-474-2580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-24
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225A00000X
MI6851115362104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist