Provider Demographics
NPI:1912024530
Name:FINEBERG, ESTELLE (LCSW, LMFT)
Entity Type:Individual
Prefix:
First Name:ESTELLE
Middle Name:
Last Name:FINEBERG
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 NE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3239
Mailing Address - Country:US
Mailing Address - Phone:954-766-9964
Mailing Address - Fax:954-463-1370
Practice Address - Street 1:105 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3239
Practice Address - Country:US
Practice Address - Phone:954-766-9964
Practice Address - Fax:954-463-1370
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 4611041C0700X
FLMT 476106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist