Provider Demographics
NPI:1295132306
Name:TURNER, LESLEY (LCSW, LMHP)
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 S 87TH ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3042
Mailing Address - Country:US
Mailing Address - Phone:402-915-0961
Mailing Address - Fax:
Practice Address - Street 1:3031 S 87TH ST
Practice Address - Street 2:UNIT 2
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3042
Practice Address - Country:US
Practice Address - Phone:402-915-0961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE69011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026579600Medicaid