Provider Demographics
NPI:1285234450
Name:TURNER, JAMIE LYNNE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNNE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-6038
Mailing Address - Country:US
Mailing Address - Phone:216-316-3551
Mailing Address - Fax:
Practice Address - Street 1:214 CORNELL AVE
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6038
Practice Address - Country:US
Practice Address - Phone:216-316-3551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.18020621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical