Provider Demographics
NPI:1962746883
Name:TURNER, LADONNA MICHELLE (LCSW)
Entity type:Individual
Prefix:
First Name:LADONNA
Middle Name:MICHELLE
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LADONNA
Other - Middle Name:MICHELLE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:9205 NIGHTINGALE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-2715
Mailing Address - Country:US
Mailing Address - Phone:314-326-3004
Mailing Address - Fax:314-754-9664
Practice Address - Street 1:9205 NIGHTINGALE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-2715
Practice Address - Country:US
Practice Address - Phone:314-326-3004
Practice Address - Fax:314-753-9664
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20150075461041C0700X
TX670161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1962746883Medicaid