Provider Demographics
NPI:1639226871
Name:FINKELDEY, MEGAN ROSE (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ROSE
Last Name:FINKELDEY
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 1:386 LARKSPUR PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1445
Mailing Address - Country:US
Mailing Address - Phone:415-286-3632
Mailing Address - Fax:
Practice Address - Street 1:ST. VINCENT'S SCHOOL FOR BOYS 1 ST. VINCENT'S DRIVE
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903
Practice Address - Country:US
Practice Address - Phone:415-507-4268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical