Provider Demographics
NPI:1760623037
Name:TURTURRO, ROXANNE L (LCSW)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:L
Last Name:TURTURRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:BROWNVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13615-0124
Mailing Address - Country:US
Mailing Address - Phone:912-399-7308
Mailing Address - Fax:
Practice Address - Street 1:492 MONTAUK AVE
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4615
Practice Address - Country:US
Practice Address - Phone:860-443-0305
Practice Address - Fax:860-444-0823
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0035411041C0700X
NYR084633-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical