=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952498545
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID LEE TURRNER SR. SOCIAL WORKER
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2006
-----------------------------------------------------
Last Update Date | 12/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10701 EAST BLVD
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44106-1702
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-791-3800
-----------------------------------------------------
Fax | 216-231-3290
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1117 HILLROCK DR
-----------------------------------------------------
City | SOUTH EUCLID
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44121-3854
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-297-9440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | CSW00000006621
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------