Healthcare Provider Details

I. General information

NPI: 1134049018
Provider Name (Legal Business Name): KAYLA IMANI TURNER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 S ESSEX AVE APT 316
ORANGE NJ
07050-2995
US

IV. Provider business mailing address

72 S ESSEX AVE APT 316
ORANGE NJ
07050-2995
US

V. Phone/Fax

Practice location:
  • Phone: 862-766-0887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL07465600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: