Provider Demographics
NPI:1922516509
Name:PRESSLEY, CRAIG ANDREW (LICSW)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ANDREW
Last Name:PRESSLEY
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 W WYOMING AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-4625
Mailing Address - Country:US
Mailing Address - Phone:423-667-4894
Mailing Address - Fax:
Practice Address - Street 1:110 FRANCIS ST STE 7
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5501
Practice Address - Country:US
Practice Address - Phone:617-632-9700
Practice Address - Fax:617-632-9804
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0147761041C0700X
MA1196681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA119666OtherMASSACHUSETTS SOCIAL WORK LICSW LICENSE
IL149.014776OtherILLINOIS SOCIAL WORK LCSW LICENSE