Healthcare Provider Details

I. General information

NPI: 1366649105
Provider Name (Legal Business Name): JOSHUA WILLIAM FINN LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 PLANTATION ST
WORCESTER MA
01604-3023
US

IV. Provider business mailing address

160 FREMONT ST UNIT 322
WORCESTER MA
01603-2376
US

V. Phone/Fax

Practice location:
  • Phone: 508-849-5600
  • Fax: 508-849-5618
Mailing address:
  • Phone: 978-314-9196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111853
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: