Provider Demographics
NPI:1811226475
Name:TURNER, MARTHA ANN (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:MARTHA
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5417 31ST AVE
Mailing Address - Street 2:APT 5I
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-1651
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5417 31ST AVE
Practice Address - Street 2:APT 5I
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-1651
Practice Address - Country:US
Practice Address - Phone:917-653-7915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067690104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker