Provider Demographics
NPI:1073903043
Name:TURNBLOM, FILOMENA COROA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FILOMENA
Middle Name:COROA
Last Name:TURNBLOM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1398 CHALMERS CT NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-7741
Mailing Address - Country:US
Mailing Address - Phone:704-786-3699
Mailing Address - Fax:
Practice Address - Street 1:1398 CHALMERS CT NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-7741
Practice Address - Country:US
Practice Address - Phone:704-786-3699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0028911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical