Provider Demographics
NPI:1184621039
Name:PRESSLEIN, HEIDI MAE (MSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:MAE
Last Name:PRESSLEIN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 CHESTNUT ST E
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-4185
Mailing Address - Country:US
Mailing Address - Phone:651-275-0441
Mailing Address - Fax:651-430-3699
Practice Address - Street 1:228 CHESTNUT ST E
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-4185
Practice Address - Country:US
Practice Address - Phone:651-275-0441
Practice Address - Fax:651-430-3699
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN134501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN300J3PROtherBCBS
MNHP38276OtherHEALTH PARTNERS
MN171130OtherUCARE
MN6255297OtherMEDICA