Provider Demographics
NPI:1255721403
Name:CARRERAS, STEVEN (MSW)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:CARRERAS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10221 RIVER ROAD, 59866
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20859
Mailing Address - Country:US
Mailing Address - Phone:509-850-6741
Mailing Address - Fax:
Practice Address - Street 1:10221 RIVER RD UNIT 59866
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20859-7529
Practice Address - Country:US
Practice Address - Phone:509-850-6741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD166071041C0700X
VA090400088361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical