Provider Demographics
NPI:1457873143
Name:TURMEL, KAITLIN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:TURMEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:KAITLIN
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 21701
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0172
Mailing Address - Country:US
Mailing Address - Phone:844-782-2863
Mailing Address - Fax:888-244-7140
Practice Address - Street 1:231 N SPRING ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2231
Practice Address - Country:US
Practice Address - Phone:336-899-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0129601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical