Provider Demographics
NPI:1932226792
Name:FINK, JANE MARIE (BCD,LISW,ACSW,CEDS)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:MARIE
Last Name:FINK
Suffix:
Gender:F
Credentials:BCD,LISW,ACSW,CEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 VICTORIA CIR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3228
Mailing Address - Country:US
Mailing Address - Phone:330-321-9733
Mailing Address - Fax:330-722-5580
Practice Address - Street 1:3632 W MARKET ST STE 103
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-2494
Practice Address - Country:US
Practice Address - Phone:330-321-9733
Practice Address - Fax:330-722-5580
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00042331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical