Provider Demographics
NPI:1053532515
Name:FINN-CLARKE, ROBERT F (LICSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:FINN-CLARKE
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:F
Other - Last Name:FINN-CLARKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:5 CLINTON PL
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-4987
Mailing Address - Country:US
Mailing Address - Phone:508-994-1109
Mailing Address - Fax:508-994-1129
Practice Address - Street 1:92 FAUNCE CORNER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1262
Practice Address - Country:US
Practice Address - Phone:508-999-3126
Practice Address - Fax:508-991-8579
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1120711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical