Provider Demographics
NPI:1912550682
Name:TURNER, ANTOINETTE DONYELL (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:DONYELL
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 EAST AVENUE K4. STE 352-354
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535
Mailing Address - Country:US
Mailing Address - Phone:661-310-6338
Mailing Address - Fax:661-726-0309
Practice Address - Street 1:348 EAST AVENUE K4. STE 352-354
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535
Practice Address - Country:US
Practice Address - Phone:661-310-6338
Practice Address - Fax:661-726-0309
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1073141041C0700X, 104100000X
CA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator