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:
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 1:3540 RIVER OAKS BLVD APT 3302
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4501
Mailing Address - Country:US
Mailing Address - Phone:734-358-5115
Mailing Address - Fax:
Practice Address - Street 1:2020 HOGBACK RD STE 11
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9752
Practice Address - Country:US
Practice Address - Phone:734-358-5115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010802861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical