Provider Demographics
NPI:1952470270
Name:TURNER, JAMESON SCOTT (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMESON
Middle Name:SCOTT
Last Name:TURNER
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 1:8118 LOMA VERDE AVE
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-4306
Mailing Address - Country:US
Mailing Address - Phone:617-777-5724
Mailing Address - Fax:
Practice Address - Street 1:8118 LOMA VERDE AVE
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-4306
Practice Address - Country:US
Practice Address - Phone:617-777-5724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA708051041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA221867Medicare Oscar/Certification
MA1303546Medicaid