Provider Demographics
NPI:1700164621
Name:TURNER, ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
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 1:8675 W ARDENE ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-2601
Mailing Address - Country:US
Mailing Address - Phone:208-780-3900
Mailing Address - Fax:208-375-2882
Practice Address - Street 1:8675 W ARDENE ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-2601
Practice Address - Country:US
Practice Address - Phone:208-780-3900
Practice Address - Fax:208-375-2882
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-327291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1477920270Medicaid
ID20007782Medicare UPIN