Provider Demographics
NPI:1821033945
Name:FINEMAN, MARCIA ANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:ANNE
Last Name:FINEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 BLAIR ST
Mailing Address - Street 2:
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754-9515
Mailing Address - Country:US
Mailing Address - Phone:570-916-9500
Mailing Address - Fax:570-329-2922
Practice Address - Street 1:2128 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-4344
Practice Address - Country:US
Practice Address - Phone:570-916-9500
Practice Address - Fax:570-329-2922
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0150721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50036193OtherCAPITAL BLUE CROSS
PA50036193OtherCAPITAL BLUE CROSS