Healthcare Provider Details

I. General information

NPI: 1841194321
Provider Name (Legal Business Name): KIM JVON JONES-TURNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15017 DANUBE WAY
HAYMARKET VA
20169-3321
US

IV. Provider business mailing address

15017 DANUBE WAY
HAYMARKET VA
20169-3321
US

V. Phone/Fax

Practice location:
  • Phone: 703-228-9480
  • Fax:
Mailing address:
  • Phone: 703-228-9480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904005744
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: