Individual provider Active NPI

Innocent Turner

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1215576343
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001704 Issued in DE
Practice address
1500 Shallcross Ave Ste 2
Wilmington, DE 19806-3037
Phone
(267) 230-7689
NPI assigned
Jan 7, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001704 DE Primary

Addresses

Primary practice location

1500 Shallcross Ave Ste 2
Wilmington, DE 19806-3037

Mailing address

2514 Jacqueline Dr Apt C22
Wilmington, DE 19810-2014
Phone (267) 230-7689

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ITURNER@PILLARSOFWELLNESS.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504005561 PA Practitioner - Clinical Social Worker 8426526930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2514 S 24TH St
FL 2
Philadelphia, PA 19145-4109

4850 Veracity PT
Apt 300
Sanford, FL 32771-7562

PO Box
Suite 2877
Riverview, FL 33568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001704DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pillar Wellness Inc Clinical CurrentSince Jan 12, 2020 Accepting new patients

Locations

1500 Shallcross Ave
Ste 2
Wilmington, DE 19806
Phone (302) 379-8959

Interoperability endpoints

  • Direct secure messaging: innocent.turner.1@32853.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1215576343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 JACQUELINE DR APT C22",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102014",
            "telephone_number": "267-230-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "267-230-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "INNOCENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ITURNER@PILLARSOFWELLNESS.ORG",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Shallcross Ave Ste 2",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198063037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.