Provider Demographics
NPI:1750098505
Name:TURNER, KRISTEN WADE (MSW, LMSW)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:WADE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1103
Mailing Address - Country:US
Mailing Address - Phone:251-422-6592
Mailing Address - Fax:833-638-0792
Practice Address - Street 1:1701 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1103
Practice Address - Country:US
Practice Address - Phone:251-422-6592
Practice Address - Fax:833-638-0792
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3115G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker