Provider Demographics
NPI:1164186409
Name:CALLEN PRESSWOOD LCSW PLLC
Entity Type:Organization
Organization Name:CALLEN PRESSWOOD LCSW PLLC
Other - Org Name:CALLEN PRESSWOOD LCSW PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER & PRIMARY CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESSWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CCTP
Authorized Official - Phone:407-914-5235
Mailing Address - Street 1:4046 N GOLDENROD RD # 189
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-8911
Mailing Address - Country:US
Mailing Address - Phone:407-914-5235
Mailing Address - Fax:321-442-0412
Practice Address - Street 1:1950 LEE RD STE 109
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7210
Practice Address - Country:US
Practice Address - Phone:407-914-5235
Practice Address - Fax:321-422-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1084220Medicaid