Healthcare Provider Details

I. General information

NPI: 1245366947
Provider Name (Legal Business Name): CARLEEN DENISE CARNEY M.ED., MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CAMP MEETING ROAD
SEWICKLEY PA
15143
US

IV. Provider business mailing address

1409 STANLEY DR
VERONA PA
15147-2417
US

V. Phone/Fax

Practice location:
  • Phone: 412-749-2889
  • Fax: 412-741-0855
Mailing address:
  • Phone: 412-798-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW126833
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW016469
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: