Provider Demographics
NPI:1912235391
Name:TURNER, SCOTT MICHAEL (LMSW, CAC-R, CAC-M)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:MICHAEL
Last Name:TURNER
Suffix:
Gender:M
Credentials:LMSW, CAC-R, CAC-M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-4318
Mailing Address - Country:US
Mailing Address - Phone:810-213-3777
Mailing Address - Fax:810-771-4198
Practice Address - Street 1:5310 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-4318
Practice Address - Country:US
Practice Address - Phone:810-213-3777
Practice Address - Fax:810-771-4198
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2-00948101YA0400X
MI1-04554101YA0400X
MI6801090926104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7509139650OtherBCBS PIN
MI7509139650OtherBCBS PIN