Organization Active NPI

Callen Presswood LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winter Park, FL
National Provider Identifier
1164186409
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CALLEN PRESSWOOD LCSW PLLC
Practice address
1850 Lee Rd Ste 306
Winter Park, FL 32789-2107
Phone
(321) 450-8604
Fax
(321) 422-0412
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Callen Presswood, LCSW, CCTP
Title
Owner & Primary Clinician
Phone
(321) 450-8604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1850 Lee Rd Ste 306
Winter Park, FL 32789-2107

Mailing address

4046 N Goldenrod Rd # 189
Winter Park, FL 32792-8911
Phone (321) 450-8604

Other identifiers 1

IdentifierTypeStateIssuer
1084220MedicaidFL

Other names 2

  • Love Garden Wellness Doing business as
  • Callen West, LCSW PLLC Other name

National Provider Directory

National Provider Directory

Locations

1950 Lee Rd
Ste 109
Winter Park, FL 32789

1850 Lee Rd
Ste 306
Winter Park, FL 32789
Phone (321) 450-8604

1950 Lee Rd
Ste 120
Winter Park, FL 32789
Phone (407) 914-5235

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1164186409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 N GOLDENROD RD # 189",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928911",
            "telephone_number": "321-450-8604",
            "fax_number": "321-442-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LEE RD STE 306",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892107",
            "telephone_number": "321-450-8604",
            "fax_number": "321-422-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLEN PRESSWOOD LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "PRESSWOOD",
        "authorized_official_first_name": "CALLEN",
        "authorized_official_title_or_position": "OWNER & PRIMARY CLINICIAN",
        "authorized_official_telephone_number": "321-450-8604",
        "authorized_official_credential": "LCSW, CCTP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Garden Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Callen West, LCSW PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.