Provider Demographics
NPI:1033595608
Name:CAREY, ALECIA (BSW,LMSW,QMHP)
Entity Type:Individual
Prefix:MRS
First Name:ALECIA
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:BSW,LMSW,QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5470 CHENE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48211-2746
Mailing Address - Country:US
Mailing Address - Phone:313-976-5320
Mailing Address - Fax:313-579-0610
Practice Address - Street 1:5470 CHENE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48211-2746
Practice Address - Country:US
Practice Address - Phone:313-976-5320
Practice Address - Fax:313-579-0610
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010883661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical