Provider Demographics
NPI:1447496641
Name:PRESKO, GEORGE (MS, LCSW)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:PRESKO
Suffix:
Gender:M
Credentials:MS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 AIRWAY AVE
Mailing Address - Street 2:STE T-3
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4607
Mailing Address - Country:US
Mailing Address - Phone:714-545-5550
Mailing Address - Fax:714-545-5748
Practice Address - Street 1:3151 AIRWAY AVE
Practice Address - Street 2:STE T-3
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4607
Practice Address - Country:US
Practice Address - Phone:714-545-5550
Practice Address - Fax:714-545-5748
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS217461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical