Provider Demographics
NPI:1902924830
Name:TURNER, EDWARD R (MSW)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:R
Last Name:TURNER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4848 BATTERY LANE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2751
Mailing Address - Country:US
Mailing Address - Phone:301-654-4029
Mailing Address - Fax:301-924-7463
Practice Address - Street 1:4848 BATTERY LANE
Practice Address - Street 2:SUITE 101
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2751
Practice Address - Country:US
Practice Address - Phone:301-654-4029
Practice Address - Fax:301-924-7463
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0001821041C0700X
DC30000721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q417001OtherBLUE CROSS BLUE SHIELD
Q417001OtherBLUE CROSS BLUE SHIELD