Provider Demographics
NPI:1639717259
Name:FINCH, NICHOLE MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:MARIE
Last Name:FINCH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:FINCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:138 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-2707
Mailing Address - Country:US
Mailing Address - Phone:517-881-8774
Mailing Address - Fax:
Practice Address - Street 1:119 PERE MARQUETTE DR STE 2D
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1270
Practice Address - Country:US
Practice Address - Phone:517-881-8774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010976201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical