Provider Demographics
NPI:1568669141
Name:FINKELSTEIN, SUSAN DAYAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:DAYAN
Last Name:FINKELSTEIN
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 1:20 HOSPITAL DR
Mailing Address - Street 2:SUITE 12
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6434
Mailing Address - Country:US
Mailing Address - Phone:732-244-2299
Mailing Address - Fax:732-244-5757
Practice Address - Street 1:20 HOSPITAL DR
Practice Address - Street 2:SUITE 12
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6434
Practice Address - Country:US
Practice Address - Phone:732-244-2299
Practice Address - Fax:732-244-5757
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC005352001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ731359DNUMedicare PIN