Provider Demographics
NPI:1104363316
Name:TURNER, DANA MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:MICHELLE
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SKOKIE BLVD STE 503
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-7913
Mailing Address - Country:US
Mailing Address - Phone:224-306-2270
Mailing Address - Fax:
Practice Address - Street 1:450 SKOKIE BLVD STE 503
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-7913
Practice Address - Country:US
Practice Address - Phone:224-306-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0184741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical