Provider Demographics
NPI:1417089848
Name:PRESSLEY, JANIS G (LCW-C)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:G
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:LCW-C
Other - Prefix:
Other - First Name:JANIS
Other - Middle Name:
Other - Last Name:GREGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 826
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653
Mailing Address - Country:US
Mailing Address - Phone:301-862-4961
Mailing Address - Fax:301-862-5554
Practice Address - Street 1:21770 FDR BOULEVARD
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653
Practice Address - Country:US
Practice Address - Phone:301-862-4961
Practice Address - Fax:301-862-5554
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD114521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical