Healthcare Provider Details

I. General information

NPI: 1902311517
Provider Name (Legal Business Name): SHEILA DENISE TURNER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2017
Last Update Date: 12/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16814 BRAILE ST
DETROIT MI
48219-3949
US

IV. Provider business mailing address

16814 BRAILE ST
DETROIT MI
48219-3949
US

V. Phone/Fax

Practice location:
  • Phone: 313-407-0427
  • Fax: 313-543-5027
Mailing address:
  • Phone: 313-407-0427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801032930
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801032930
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: