Provider Demographics
NPI:1992876585
Name:PRESSWOOD, JAMI EILEEN (MSW)
Entity type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:EILEEN
Last Name:PRESSWOOD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 LINCOLNWAY E
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46601-3220
Mailing Address - Country:US
Mailing Address - Phone:574-232-2255
Mailing Address - Fax:574-232-8968
Practice Address - Street 1:500 N. NAPPANEE ST.
Practice Address - Street 2:SUIRE 4 A
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-1502
Practice Address - Country:US
Practice Address - Phone:574-522-8992
Practice Address - Fax:574-232-8968
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN148470HOtherMEDICARE PTAN