Provider Demographics
NPI:1366865586
Name:TURLIK, JESSIE ELIZABETH (LSW)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:ELIZABETH
Last Name:TURLIK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:JESSIE
Other - Middle Name:ELIZABETH
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1905 DOOLITTLE DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-7032
Mailing Address - Country:US
Mailing Address - Phone:443-356-2750
Mailing Address - Fax:
Practice Address - Street 1:1905 DOOLITTLE DR
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-7032
Practice Address - Country:US
Practice Address - Phone:443-356-2750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SLO57087001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical