MEDICARE: MS. REBECCA CORINNE TURAY MSW, 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
1	1041C0700X	Clinical Social Worker	SW004640	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2195023	OTHER	MO	CIGNA PIN FOR 'GM' EMPLOY
2	0007582461	OTHER	MO	AETNA PIN NUMBER
3	SW004640	OTHER	MO	LICENSE FOR LCSW
4	188028	OTHER	MO	BC/BS PIN NUMBER
5	221197	OTHER	MO	COM PSYCH PIN NUMBER
6	6259832	OTHER	MO	UNITED HEALTH CARE PIN
7	277588	OTHER	MO	VALUE OPTIONS PIN

General Provider Information

NPI Number	:	1619059151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA CORINNE TURAY MSW, LCSW

Provider Business Mailing Address
First Line	:	1811 HEATHER GLEN CT
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-4245
Country	:	US
Telephone Number	:	636-332-4487
Fax Number	:	636-639-6755

Provider Business Practice Location Address
First Line	:	1000 LAKE SAINT LOUIS BLVD
Second Line	:	STE 204
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-1340
Country	:	US
Telephone Number	:	636-561-5673
Fax Number	:	636-639-6755

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	07/08/2007

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