MEDICARE: MELINDA FINCH LCSW, CSAC, JSOC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	138659	CA
2	1041C0700X	Clinical Social Worker	I.2607743	OH
3	1041C0700X	Clinical Social Worker	LCSW00001282	KY
4	1041C0700X	Clinical Social Worker	9039	TN

General Provider Information

NPI Number	:	1922655570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA FINCH LCSW, CSAC, JSOC

Provider Business Mailing Address
First Line	:	836 DAYBREAK DR
Second Line	:
City	:	ANTIOCH
State	:	TN
Zip	:	37013-4684
Country	:	US
Telephone Number	:	615-894-8719
Fax Number	:

Provider Business Practice Location Address
First Line	:	836 DAYBREAK DR
Second Line	:
City	:	ANTIOCH
State	:	TN
Zip	:	37013-4684
Country	:	US
Telephone Number	:	615-894-8719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2019
Last Update Date	:	06/03/2026

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