MEDICARE: MARISA SENSABAUGH TURPIN L.C.S.W.

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
1	1041C0700X	Clinical Social Worker	0904002702	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1578569521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISA SENSABAUGH TURPIN L.C.S.W.

Provider Business Mailing Address
First Line	:	204 E WASHINGTON ST
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-2718
Country	:	US
Telephone Number	:	540-462-7384
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 E WASHINGTON ST
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-2718
Country	:	US
Telephone Number	:	540-462-7384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	02/17/2014

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