NPI Code Details Logo

NPI 1225158140

NPI 1225158140 : ADRIA MICHELLE CARNEY L.M.S.W. : ANN ARBOR, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225158140
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ADRIA MICHELLE CARNEY L.M.S.W.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/02/2007
-----------------------------------------------------
    Last Update Date     |    03/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2020 HOGBACK RD STE 11 
-----------------------------------------------------
    City                 |    ANN ARBOR
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48105-9752
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    734-358-5115
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3540 RIVER OAKS BLVD APT 3302 
-----------------------------------------------------
    City                 |    ROCHESTER HILLS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48309-4501
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    734-358-5115
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    6801080286
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.