Provider Demographics
NPI:1649553694
Name:TURNER, VERONICA SHARON (LCSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:SHARON
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 1:15507 S NORMANDIE AVE # 487
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-4028
Mailing Address - Country:US
Mailing Address - Phone:310-766-5058
Mailing Address - Fax:310-464-3547
Practice Address - Street 1:15507 S NORMANDIE AVE # 487
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-4028
Practice Address - Country:US
Practice Address - Phone:310-766-5058
Practice Address - Fax:310-464-3547
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA273351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical