Provider Demographics
NPI:1144620675
Name:TURNER, CARL
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 OLD FALLS ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14303-1262
Mailing Address - Country:US
Mailing Address - Phone:716-300-8339
Mailing Address - Fax:716-371-2112
Practice Address - Street 1:225 OLD FALLS ST STE 3B
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14303
Practice Address - Country:US
Practice Address - Phone:716-300-8339
Practice Address - Fax:716-371-2112
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092274104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker