Provider Demographics
NPI:1376348805
Name:TURNBULL, SAMANTHA (LISW)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:TURNBULL
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:GRIMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:627 S GOVERNOR ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-5627
Mailing Address - Country:US
Mailing Address - Phone:319-541-1904
Mailing Address - Fax:
Practice Address - Street 1:209 E WASHINGTON ST STE 201D
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4081
Practice Address - Country:US
Practice Address - Phone:319-382-0317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0081721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical