Provider Demographics
NPI:1356791354
Name:PRESSWOOD, CALLEN (LCSW, CCTP)
Entity type:Individual
Prefix:
First Name:CALLEN
Middle Name:
Last Name:PRESSWOOD
Suffix:
Gender:F
Credentials:LCSW, CCTP
Other - Prefix:
Other - First Name:CALLEN
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:4046 N. GOLDENROD RD.
Mailing Address - Street 2:#189
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:
Practice Address - Street 1:1850 LEE RD STE 306
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2107
Practice Address - Country:US
Practice Address - Phone:321-450-8604
Practice Address - Fax:321-422-0412
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-21
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW176911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10842200Medicaid