Provider Demographics
NPI:1427399187
Name:TURNER, JERMAINE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JERMAINE
Middle Name:
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 1:904 KOHOU ST
Mailing Address - Street 2:306
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4420
Mailing Address - Country:US
Mailing Address - Phone:808-791-6373
Mailing Address - Fax:808-842-3117
Practice Address - Street 1:904 KOHOU ST
Practice Address - Street 2:306
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4420
Practice Address - Country:US
Practice Address - Phone:808-791-6373
Practice Address - Fax:808-842-3117
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1897104100000X
HI38401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker