Provider Demographics
NPI:1144971649
Name:TURNER, SEAN JUSTIN (LISW-CP)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:JUSTIN
Last Name:TURNER
Suffix:
Gender:M
Credentials:LISW-CP
Other - Prefix:MR
Other - First Name:SEAN
Other - Middle Name:J
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW-CP
Mailing Address - Street 1:1923 QUITMAN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8009
Mailing Address - Country:US
Mailing Address - Phone:315-491-0674
Mailing Address - Fax:
Practice Address - Street 1:1986 JOPPA AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8159
Practice Address - Country:US
Practice Address - Phone:843-495-5998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-16
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC147211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical