Provider Demographics
NPI:1003691676
Name:CARNEY-ASTURIAS, DEENE MARIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:DEENE MARIE
Middle Name:
Last Name:CARNEY-ASTURIAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:DEENIE-MARIE
Other - Middle Name:
Other - Last Name:CARNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:431 S HUMPHREYS AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1520
Mailing Address - Country:US
Mailing Address - Phone:213-570-1479
Mailing Address - Fax:
Practice Address - Street 1:950 S GRAND AVE FL 2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3999
Practice Address - Country:US
Practice Address - Phone:323-669-4355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA115670104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health