Provider Demographics
NPI:1629183322
Name:TURNER, RANDY A (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:RANDY
Middle Name:A
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 VETERANS DRIVE
Mailing Address - Street 2:B- # 4
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0001
Mailing Address - Country:US
Mailing Address - Phone:253-583-1631
Mailing Address - Fax:
Practice Address - Street 1:9900 VETERANS DR SW
Practice Address - Street 2:BUILDING # 6
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0005
Practice Address - Country:US
Practice Address - Phone:253-583-1631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000077291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical