Provider Demographics
NPI:1033451091
Name:PRESBERY, RANISHA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RANISHA
Middle Name:
Last Name:PRESBERY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1476 MARMORA RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-8648
Mailing Address - Country:US
Mailing Address - Phone:757-412-7762
Mailing Address - Fax:
Practice Address - Street 1:1476 MARMORA RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-8648
Practice Address - Country:US
Practice Address - Phone:757-412-7762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-17
Last Update Date:2013-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040081861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical