Individual
MS. NIKKI A. PRESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
4847 E. VIRGINIA SUITE D, EVANSVILLE, IN 47715
(812) 479-1242
(812) 479-1330
Mailing address
4847 E. VIRGINIA SUITE D, EVANSVILLE, IN 47715
(812) 479-1242
(812) 479-1330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001840A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488008
ANTHEM PIN
IN
01
—
200829650D
MEDICAID GROUP
IN
01
—
237890
MEDICARE GROUP
IN
01
—
65945420
MEDICAID GROUP
KY
Enumeration date
09/25/2006
Last updated
09/15/2015
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