Basic Information
Provider Information
NPI: 1790890028
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: JOYCE
MiddleName: W.
NamePrefix:  
NameSuffix:  
Credential: LCSW-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 MARYLAND AVE
Address2:  
City: CAMBRIDGE
State: MD
PostalCode: 216132011
CountryCode: US
TelephoneNumber: 4102210199
FaxNumber:  
Practice Location
Address1: 830 CHESAPEAKE DR
Address2:  
City: CAMBRIDGE
State: MD
PostalCode: 216139408
CountryCode: US
TelephoneNumber: 4102286243
FaxNumber: 4109014011
Other Information
ProviderEnumerationDate: 08/19/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X08618MDY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


Home