MEDICARE: MICHELLE CARNEY LMSW PLLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1679411896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE CARNEY LMSW PLLC

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

Provider Business Practice Location Address
First Line	:	441 S LIVERNOIS RD STE 190
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-2591
Country	:	US
Telephone Number	:	734-358-5115
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADRIA MICHELLE CARNEY
Credential	:	LMSW
Telephone Number	:	734-358-5115

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	05/13/2026

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