Individual provider Active NPI

Paula Coulby Turner, LCSW-C

  • Clinical Social Worker
  • Centreville, MD
National Provider Identifier
1447509088
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14504 Issued in MD
Practice address
120 Banjo LN
Centreville, MD 21617-1002
Phone
(410) 758-2211
Fax
(410) 758-1223
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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 14504 MD Primary

Addresses

Primary practice location

120 Banjo LN
Centreville, MD 21617-1002

Mailing address

PO Box 718
Centreville, MD 21617-0718
Phone (410) 758-2211

Other names 1

  • Miss Paula Jo Coulby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130920000264 MD Practitioner - Clinical Social Worker 9638313281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 Banjo LN
Centreville, MD 21617-1002
Phone (410) 758-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14504MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Corsica River Mental Health Service, Inc. CurrentSince Jul 27, 2013 Accepting new patients
Corsica River Mental Health Services, Inc. Current Accepting new patients
Corsica River Mental Health Service, Inc. CurrentSince Jul 27, 2013 Accepting new patients

Locations

403 High St
Cambridge, MD 21613
Phone (443) 225-5780

120 Banjo Ln
Centreville, MD 21617
Phone (410) 758-2211

Organizations & group practices 3

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1447509088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216170718",
            "telephone_number": "410-758-2211",
            "fax_number": "410-758-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BANJO LN",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171002",
            "telephone_number": "410-758-2211",
            "fax_number": "410-758-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "PAULA",
        "middle_name": "COULBY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "COULBY",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centreville, MD

Sources for this page

Verify at the official NPI Registry.