Provider Demographics
NPI:1962153981
Name:PRESBURY, CARLINE L (LCSW-C, LICSW)
Entity type:Individual
Prefix:MS
First Name:CARLINE
Middle Name:L
Last Name:PRESBURY
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3453 BRUTON PARISH WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4845
Mailing Address - Country:US
Mailing Address - Phone:301-890-2960
Mailing Address - Fax:
Practice Address - Street 1:3453 BRUTON PARISH WAY
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-4845
Practice Address - Country:US
Practice Address - Phone:301-890-2960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500811401041C0700X
MD155101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical