Provider Demographics
NPI:1417257841
Name:PRESNALL, NED JOSEPH (MSW)
Entity Type:Individual
Prefix:
First Name:NED
Middle Name:JOSEPH
Last Name:PRESNALL
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9890 CLAYTON RD
Mailing Address - Street 2:SUITE 134
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1685
Mailing Address - Country:US
Mailing Address - Phone:314-467-8393
Mailing Address - Fax:888-434-3316
Practice Address - Street 1:9904 CLAYTON RD STE 135
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1149
Practice Address - Country:US
Practice Address - Phone:314-467-8393
Practice Address - Fax:314-492-3304
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110073331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical