Provider Demographics
NPI:1851458665
Name:FINCH, KELLEY E (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:KELLEY
Middle Name:E
Last Name:FINCH
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:KELLEY
Other - Middle Name:E
Other - Last Name:GEMMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:130 TOWER HILL RD.
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852
Mailing Address - Country:US
Mailing Address - Phone:401-268-3886
Mailing Address - Fax:401-268-3887
Practice Address - Street 1:130 TOWER HILL RD.
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852
Practice Address - Country:US
Practice Address - Phone:401-268-3886
Practice Address - Fax:401-268-3887
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW017771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical