Provider Demographics
NPI:1063620664
Name:FINNIE, KIMBERLY D (LSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:D
Last Name:FINNIE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 LAUREL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-8301
Mailing Address - Country:US
Mailing Address - Phone:856-278-0099
Mailing Address - Fax:856-354-1480
Practice Address - Street 1:221 LAUREL RD STE 105
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-8301
Practice Address - Country:US
Practice Address - Phone:856-278-0099
Practice Address - Fax:856-354-1480
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054019001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical