Healthcare Provider Details

I. General information

NPI: 1992876585
Provider Name (Legal Business Name): JAMI EILEEN PRESSWOOD MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 08/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N. NAPPANEE ST. SUIRE 4 A
ELKHART IN
46514-1502
US

IV. Provider business mailing address

611 LINCOLNWAY E
SOUTH BEND IN
46601-3220
US

V. Phone/Fax

Practice location:
  • Phone: 574-522-8992
  • Fax: 574-232-8968
Mailing address:
  • Phone: 574-232-2255
  • Fax: 574-232-8968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: