Provider Demographics
NPI:1811505316
Name:FINNEY, AMELIA (LSWAA)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:FINNEY
Suffix:
Gender:F
Credentials:LSWAA
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27349 GAMBLE BAY RD NE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98346-9540
Mailing Address - Country:US
Mailing Address - Phone:360-536-3492
Mailing Address - Fax:
Practice Address - Street 1:400 WARREN AVE STE 200
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98337-1467
Practice Address - Country:US
Practice Address - Phone:360-475-6701
Practice Address - Fax:360-373-2096
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA609968061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical