Provider Demographics
NPI:1487042396
Name:TURNER, CAITLYN (LLMSW)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52164 BELLE VERNON
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-2917
Mailing Address - Country:US
Mailing Address - Phone:586-201-9178
Mailing Address - Fax:
Practice Address - Street 1:58540 VAN DYKE RD STE 6
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48094-3592
Practice Address - Country:US
Practice Address - Phone:586-201-9178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010967131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical