Provider Demographics
NPI:1740611235
Name:TURNER, AVIS WILHELMINA (LCSW,LCSW-C,ABD)
Entity Type:Individual
Prefix:MS
First Name:AVIS
Middle Name:WILHELMINA
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW,LCSW-C,ABD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6104 BREEZEWOOD CT
Mailing Address - Street 2:SUITE # 304
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1152
Mailing Address - Country:US
Mailing Address - Phone:863-414-6495
Mailing Address - Fax:
Practice Address - Street 1:6104 BREEZEWOOD CT
Practice Address - Street 2:SUITE # 304
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1152
Practice Address - Country:US
Practice Address - Phone:863-414-6495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0041321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical