Provider Demographics
NPI:1710208186
Name:JERRELS, ALESIA TURNER (MSW, LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:ALESIA
Middle Name:TURNER
Last Name:JERRELS
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13012 WOODMORE NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4774
Mailing Address - Country:US
Mailing Address - Phone:407-928-6118
Mailing Address - Fax:
Practice Address - Street 1:13012 WOODMORE NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4774
Practice Address - Country:US
Practice Address - Phone:407-928-6118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC500793301041C0700X
MD254871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical