Provider Demographics
NPI:1417044835
Name:TURNER, JOAN J (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31-85 CRESCENT STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3702
Mailing Address - Country:US
Mailing Address - Phone:718-204-4896
Mailing Address - Fax:718-278-9620
Practice Address - Street 1:31-85 CRESCENT STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3702
Practice Address - Country:US
Practice Address - Phone:718-204-4896
Practice Address - Fax:718-278-9620
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRP0227611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01812564Medicaid
R022761N01OtherHIP
P480804OtherOXFORD
7480942OtherGHI
117802OtherVO
13722400OtherMBC
7480942OtherGHI