Healthcare Provider Details

I. General information

NPI: 1114413630
Provider Name (Legal Business Name): KARA G. FINK LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 SOUTH ST
WALPOLE MA
02081-2737
US

IV. Provider business mailing address

545 SOUTH ST
WALPOLE MA
02081-2737
US

V. Phone/Fax

Practice location:
  • Phone: 781-784-4944
  • Fax:
Mailing address:
  • Phone: 781-784-4944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111368
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: