Provider Demographics
NPI:1316214711
Name:TURNER, ERIKA LEA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:LEA
Last Name:TURNER
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:PO BOX 796
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31521-0796
Mailing Address - Country:US
Mailing Address - Phone:912-398-2332
Mailing Address - Fax:
Practice Address - Street 1:501 GLOUCESTER ST STE 110
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-7002
Practice Address - Country:US
Practice Address - Phone:912-398-2332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0044301041C0700X
MD148641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
12432098OtherCAQH