MEDICARE: DESIREE 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
1	1041C0700X	Clinical Social Worker	231180	AK

General Provider Information

NPI Number	:	1770395139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESIREE TURNER LCSW

Provider Business Mailing Address
First Line	:	2222 MONUMENT AVE STE 1
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-2724
Country	:	US
Telephone Number	:	804-214-7402
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 MONUMENT AVE STE 1
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-2724
Country	:	US
Telephone Number	:	804-214-7402
Fax Number	:

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

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	12/01/2025

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