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NPI Code Detail

MEDICARE: MS. BRIDGET CHRISTINA TURNER LCSW

MEDICARE: MS. BRIDGET CHRISTINA TURNER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1653KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111491080OTHERCAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396739413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRIDGET CHRISTINA TURNER LCSW
Provider Business Mailing Address
First Line : PO BOX 690
Second Line :
City : BEATTYVILLE
State : KY
Zip : 41311-0690
Country : US
Telephone Number : 606-464-0151
Fax Number : 606-464-0152
Provider Business Practice Location Address
First Line : 1484 LAKESIDE DRIVE
Second Line :
City : JACKSON
State : KY
Zip : 41339-6555
Country : US
Telephone Number : 606-666-9950
Fax Number : 606-666-9136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 05/19/2022

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