Provider Demographics
NPI:1205678794
Name:TURNER, JEANISHA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JEANISHA
Middle Name:
Last Name:TURNER
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 1:701 S SANTA FE AVE UNIT 4905
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90224-2043
Mailing Address - Country:US
Mailing Address - Phone:650-278-6210
Mailing Address - Fax:
Practice Address - Street 1:5150 CANDLEWOOD ST STE 14B
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1927
Practice Address - Country:US
Practice Address - Phone:650-278-6210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA784341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical