Provider Demographics
NPI:1780122143
Name:PRESS, ELIYAHU (LMSW)
Entity type:Individual
Prefix:
First Name:ELIYAHU
Middle Name:
Last Name:PRESS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 MONTGOMERY AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1946
Mailing Address - Country:US
Mailing Address - Phone:484-278-1001
Mailing Address - Fax:
Practice Address - Street 1:822 MONTGOMERY AVE STE 204
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1946
Practice Address - Country:US
Practice Address - Phone:484-278-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0201651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical