Provider Demographics
NPI:1891719787
Name:FINKELSTEIN, L. CAROL (CLINICAL SOCIAL WORK)
Entity Type:Individual
Prefix:MS
First Name:L. CAROL
Middle Name:
Last Name:FINKELSTEIN
Suffix:
Gender:F
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 PEACHTREE DUNWOODY RD., NE
Mailing Address - Street 2:SUITE C-200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1509
Mailing Address - Country:US
Mailing Address - Phone:404-847-9004
Mailing Address - Fax:404-256-2795
Practice Address - Street 1:5775 PEACHTREE DUNWOODY RD., NE
Practice Address - Street 2:SUITE C-200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1509
Practice Address - Country:US
Practice Address - Phone:404-847-9004
Practice Address - Fax:404-256-2795
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0007501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAR79990Medicare UPIN
GA80BBGCBMedicare ID - Type UnspecifiedGEORGIA MEDICARE PART B P
R79990Medicare UPIN