Provider Demographics
NPI:1083944904
Name:PRESA, LINDA F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:F
Last Name:PRESA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TERRI
Other - Middle Name:F
Other - Last Name:PRESA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1105 PONCA AVE
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-7810
Mailing Address - Country:US
Mailing Address - Phone:580-233-0129
Mailing Address - Fax:
Practice Address - Street 1:1102 W OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-5859
Practice Address - Country:US
Practice Address - Phone:580-484-2549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical