Provider Demographics
NPI:1104029958
Name:TURNER, SANDRA G (CSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:G
Last Name:TURNER
Suffix:
Gender:F
Credentials:CSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 W 12TH ST
Mailing Address - Street 2:#3C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-1927
Mailing Address - Country:US
Mailing Address - Phone:212-691-7117
Mailing Address - Fax:212-691-7117
Practice Address - Street 1:290 W 12TH ST
Practice Address - Street 2:#3C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-1927
Practice Address - Country:US
Practice Address - Phone:212-691-7117
Practice Address - Fax:212-691-7117
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0173961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical