Provider Demographics
NPI:1003260779
Name:CAREY, DENIS MICHAEL (LCSW)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:MICHAEL
Last Name:CAREY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 S 17TH ST STE 1010
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6210
Mailing Address - Country:US
Mailing Address - Phone:267-702-0751
Mailing Address - Fax:
Practice Address - Street 1:6232 MARKET ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-2922
Practice Address - Country:US
Practice Address - Phone:215-444-7672
Practice Address - Fax:267-627-5873
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0190261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical