Provider Demographics
NPI:1316276504
Name:KIENY, CAROL A (LCSW, LISW-CP)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:KIENY
Suffix:
Gender:F
Credentials:LCSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 RICHLAND ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2635
Mailing Address - Country:US
Mailing Address - Phone:803-850-0022
Mailing Address - Fax:844-517-6513
Practice Address - Street 1:1703 RICHLAND ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2635
Practice Address - Country:US
Practice Address - Phone:803-850-0022
Practice Address - Fax:844-517-6513
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2016-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC008380001041C0700X
SC107011041C0700X
PACW0175651041C0700X
TX591271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical