Provider Demographics
NPI:1023703667
Name:PREUSS, EMILY R (LMSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:R
Last Name:PREUSS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 HIATT PL NW APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3352
Mailing Address - Country:US
Mailing Address - Phone:734-765-7850
Mailing Address - Fax:
Practice Address - Street 1:5511 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1932
Practice Address - Country:US
Practice Address - Phone:248-916-9041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD297271041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool