Provider Demographics
NPI:1689782617
Name:TURNBULL, JENNIFER AVRIL (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:AVRIL
Last Name:TURNBULL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9412 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4732
Mailing Address - Country:US
Mailing Address - Phone:954-436-9113
Mailing Address - Fax:305-575-3369
Practice Address - Street 1:1201 NW 16 TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-346-3235
Practice Address - Fax:305-575-3380
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW33931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical