Provider Demographics
NPI:1316812480
Name:FINCHUM, GRIFFIN MICAH (ACSW)
Entity type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:MICAH
Last Name:FINCHUM
Suffix:
Gender:M
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 10TH ST APT 3507
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1441
Mailing Address - Country:US
Mailing Address - Phone:317-599-0908
Mailing Address - Fax:
Practice Address - Street 1:972 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2931
Practice Address - Country:US
Practice Address - Phone:415-504-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1331511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical