Provider Demographics
NPI:1720257538
Name:PRESSMAN, STEPHANIE DONALDSON (LICSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:DONALDSON
Last Name:PRESSMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:DONALDSON-PRESSMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:1 REGENCY PLZ
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-3158
Mailing Address - Country:US
Mailing Address - Phone:401-743-7148
Mailing Address - Fax:401-453-1776
Practice Address - Street 1:1 REGENCY PLZ
Practice Address - Street 2:SUITE 1001
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-3158
Practice Address - Country:US
Practice Address - Phone:401-743-7148
Practice Address - Fax:401-453-1776
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW018971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical