Provider Demographics
NPI:1770940116
Name:MARIAN L. TURNER-SHARPTON, LCSW
Entity type:Organization
Organization Name:MARIAN L. TURNER-SHARPTON, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TURNER-SHARPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:904-731-4114
Mailing Address - Street 1:5079 CYPRESS LINKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:FL
Mailing Address - Zip Code:32033-2032
Mailing Address - Country:US
Mailing Address - Phone:904-731-4114
Mailing Address - Fax:
Practice Address - Street 1:17 PACIFIC ST.
Practice Address - Street 2:SUITE 2 (GROWTH POINTE)
Practice Address - City:ST. AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084
Practice Address - Country:US
Practice Address - Phone:904-731-4114
Practice Address - Fax:903-737-9369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00014491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00057131OtherMEDICARE RAILROAD
FLZ4845OtherBLUE CROSS BLUE SHIELD
FLZ4845OtherMEDICARE PTAN
FLZ4845OtherBLUE CROSS BLUE SHIELD