Provider Demographics
NPI:1518005404
Name:FINK, JODIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JODIE
Middle Name:
Last Name:FINK
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 1:132 WASHINGTON ST
Mailing Address - Street 2:SUITE #203
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4646
Mailing Address - Country:US
Mailing Address - Phone:201-656-1222
Mailing Address - Fax:
Practice Address - Street 1:132 WASHINGTON ST
Practice Address - Street 2:SUITE #203
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:201-656-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC043791001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical