Healthcare Provider Details

I. General information

NPI: 1720257538
Provider Name (Legal Business Name): STEPHANIE DONALDSON PRESSMAN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE DONALDSON-PRESSMAN LICSW

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 REGENCY PLZ SUITE 1001
PROVIDENCE RI
02903-3158
US

IV. Provider business mailing address

1 REGENCY PLZ SUITE 1001
PROVIDENCE RI
02903-3158
US

V. Phone/Fax

Practice location:
  • Phone: 401-743-7148
  • Fax: 401-453-1776
Mailing address:
  • Phone: 401-743-7148
  • Fax: 401-453-1776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW01897
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: