Provider Demographics
NPI:1356850713
Name:TURLEY, KATIE M (LCSW)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:M
Last Name:TURLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:M
Other - Last Name:LEININGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2353 GRINNELL DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-5465
Mailing Address - Country:US
Mailing Address - Phone:217-899-1564
Mailing Address - Fax:217-757-2021
Practice Address - Street 1:2353 GRINNELL DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-5465
Practice Address - Country:US
Practice Address - Phone:217-899-1564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490188581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical