Provider Demographics
NPI:1649606427
Name:TURVILLE, BRIAN D (LCSW)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:D
Last Name:TURVILLE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3972 BENCHMARK CIR
Mailing Address - Street 2:
Mailing Address - City:AMMON
Mailing Address - State:ID
Mailing Address - Zip Code:83406-4667
Mailing Address - Country:US
Mailing Address - Phone:208-709-2879
Mailing Address - Fax:
Practice Address - Street 1:3972 BENCHMARK CIR
Practice Address - Street 2:
Practice Address - City:AMMON
Practice Address - State:ID
Practice Address - Zip Code:83406-4667
Practice Address - Country:US
Practice Address - Phone:208-709-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-381801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical