Basic Information
| Provider Information | |||||||||
| NPI: | 1841478765 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TURNER | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | KELLEY | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LISW-S | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | JOHNSON | ||||||||
| OtherFirstName: | ERIN | ||||||||
| OtherMiddleName: | KELLEY | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | LISW-S | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 10771 MAYFIELD RD. | ||||||||
| Address2: | CATHOLIC CHARITIES DIOCESE OF CLEVELAND | ||||||||
| City: | CHARDON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4402853537 | ||||||||
| FaxNumber: | 4402854909 | ||||||||
| Practice Location | |||||||||
| Address1: | 10771 MAYFIELD RD. | ||||||||
| Address2: | CATHOLIC CHARITIES DIOCESE OF CLEVELAND | ||||||||
| City: | CHARDON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4402853537 | ||||||||
| FaxNumber: | 4402854909 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2008 | ||||||||
| LastUpdateDate: | 03/26/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | I0700313 | OH | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.