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NPI Code Detail

MEDICARE: MICHAEL CARNEY CDCA, QMHS

MEDICARE: MICHAEL CARNEY CDCA, QMHS
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.194488OH
2171M00000XCase Manager/Care CoordinatorOH
3172V00000XCommunity Health WorkerQMHSOH

General Provider Information

NPI Number : 1720899263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CARNEY CDCA, QMHS
Provider Business Mailing Address
First Line : 527 N MERIDIAN RD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44509-1227
Country : US
Telephone Number : 330-797-0070
Fax Number : 330-797-9146
Provider Business Practice Location Address
First Line : 527 N MERIDIAN RD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44509-1227
Country : US
Telephone Number : 330-797-0070
Fax Number : 330-797-9146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2025
Last Update Date : 12/05/2025

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