Provider Demographics
NPI:1922267848
Name:PRESANT, JAMES (LCSWC, LCSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:PRESANT
Suffix:
Gender:M
Credentials:LCSWC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 8TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7905
Mailing Address - Country:US
Mailing Address - Phone:301-575-4533
Mailing Address - Fax:240-993-2983
Practice Address - Street 1:3430 N HIGH ST
Practice Address - Street 2:OLNEY COUNSELING CENTER
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-2202
Practice Address - Country:US
Practice Address - Phone:301-570-7500
Practice Address - Fax:301-570-7504
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD128071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0440361Medicaid