Provider Demographics
NPI:1164865176
Name:TURNER, ONGELEKE RACINE (LLMSW)
Entity Type:Individual
Prefix:
First Name:ONGELEKE
Middle Name:RACINE
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 1:24901 WALDEN RD W APT 209
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3131
Mailing Address - Country:US
Mailing Address - Phone:313-449-1373
Mailing Address - Fax:
Practice Address - Street 1:24901 WALDEN RD W APT 209
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3131
Practice Address - Country:US
Practice Address - Phone:313-449-1373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801094839104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker