Provider Demographics
NPI:1225158140
Name:CARNEY, ADRIA MICHELLE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ADRIA
Middle Name:MICHELLE
Last Name:CARNEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:CARNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:1346 KING GEORGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-3215
Mailing Address - Country:US
Mailing Address - Phone:734-975-9856
Mailing Address - Fax:
Practice Address - Street 1:2008 HOGBACK RD
Practice Address - Street 2:SUITE 8
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9768
Practice Address - Country:US
Practice Address - Phone:734-786-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010802861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical