MEDICARE: LADONNA MICHELLE TURNER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2015007546	MO
2	1041C0700X	Clinical Social Worker	67016	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962746883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LADONNA MICHELLE TURNER LCSW

Provider Business Mailing Address
First Line	:	9205 NIGHTINGALE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2715
Country	:	US
Telephone Number	:	314-326-3004
Fax Number	:	314-754-9664

Provider Business Practice Location Address
First Line	:	9205 NIGHTINGALE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2715
Country	:	US
Telephone Number	:	314-326-3004
Fax Number	:	314-753-9664

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	02/03/2025

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