Provider Demographics
NPI:1730463605
Name:TURKAT, DEBRA (LCSW, MSW, MBA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:TURKAT
Suffix:
Gender:F
Credentials:LCSW, MSW, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WILLETT AVE APT 429
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4240
Mailing Address - Country:US
Mailing Address - Phone:202-420-1609
Mailing Address - Fax:
Practice Address - Street 1:201 WILLETT AVE APT 429
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4240
Practice Address - Country:US
Practice Address - Phone:202-420-1609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500792671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLC50079267OtherLICSW LICENSE, DC