Provider Demographics
NPI:1376280057
Name:TURNER, KEITH SCOTT (LCSW)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:SCOTT
Last Name:TURNER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 LEATHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LOST CREEK
Mailing Address - State:KY
Mailing Address - Zip Code:41348-9057
Mailing Address - Country:US
Mailing Address - Phone:606-568-8398
Mailing Address - Fax:
Practice Address - Street 1:750 MORTON BLVD
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9469
Practice Address - Country:US
Practice Address - Phone:606-439-3557
Practice Address - Fax:606-436-6988
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical