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NPI Code Detail

MEDICARE: JEREMY CARNEY LCSW

MEDICARE: JEREMY CARNEY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker22500AZ
21041C0700XClinical Social Worker16945LA
31041C0700XClinical Social Worker7098TN
41041C0700XClinical Social Worker113090TX

General Provider Information

NPI Number : 1013657998
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY CARNEY LCSW
Provider Business Mailing Address
First Line : 10 LEA AVE STE 760
Second Line :
City : NASHVILLE
State : TN
Zip : 37210-3541
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 LEA AVE STE 760
Second Line :
City : NASHVILLE
State : TN
Zip : 37210-3541
Country : US
Telephone Number : 201-526-8484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 07/23/2025

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