Provider Demographics
NPI:1306916911
Name:PRESTON, CLAIRE L (LCSW)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:L
Last Name:PRESTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:P
Other - Last Name:LOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35902-0097
Mailing Address - Country:US
Mailing Address - Phone:256-492-0131
Mailing Address - Fax:
Practice Address - Street 1:8225 AL HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:HORTON
Practice Address - State:AL
Practice Address - Zip Code:35980-8473
Practice Address - Country:US
Practice Address - Phone:256-593-3804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2165C1041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51594755OtherBLUE CROSS AND BLUE SHIELD
AL511-59442OtherBLUE CROSS (CULLMAN)
AL330000025Medicaid
AL511-59443OtherBLUE CROSS (DOUGLAS)
AL193484 (CULLMAN)Medicaid
AL176508 (DOUGLAS)Medicaid
AL330000025Medicaid
AL176508 (DOUGLAS)Medicaid
AL102I807657 (CULLMAN)Medicare PIN