Provider Demographics
NPI:1881723153
Name:TURNER, CHERYL DEMARUES (LSCW BCD ALSW CBT)
Entity type:Individual
Prefix:MISS
First Name:CHERYL
Middle Name:DEMARUES
Last Name:TURNER
Suffix:
Gender:F
Credentials:LSCW BCD ALSW CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30416
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-363-3852
Mailing Address - Fax:718-773-6230
Practice Address - Street 1:26 COURT STREET
Practice Address - Street 2:SUITE 410
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-363-3852
Practice Address - Fax:718-773-6230
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11521103TB0200X
NYR035633103T00000X, 104100000X
297571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02148341Medicaid
NY02148341Medicaid