Provider Demographics
NPI:1720645377
Name:FINCKE-OVERMAN, CYNTHIA (LICSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:FINCKE-OVERMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2967
Mailing Address - Country:US
Mailing Address - Phone:978-369-4728
Mailing Address - Fax:
Practice Address - Street 1:68 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2967
Practice Address - Country:US
Practice Address - Phone:978-369-4728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker