Provider Demographics
NPI:1922194679
Name:FINN, MARY A (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:A
Last Name:FINN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:A
Other - Last Name:ASHCRAFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:64 ORLAND SQUARE DRIVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:JUSTICE
Mailing Address - State:IL
Mailing Address - Zip Code:60458
Mailing Address - Country:US
Mailing Address - Phone:708-458-9643
Mailing Address - Fax:
Practice Address - Street 1:15030 S. RAVINIA AVE. SUITE 30
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462
Practice Address - Country:US
Practice Address - Phone:708-364-0580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0120301041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool