Provider Demographics
NPI:1548323223
Name:CARNEY, STEVEN MICHAEL (MSW, LICSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:CARNEY
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 DUPONT AVE S.
Mailing Address - Street 2:SUITE G4
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-5540
Mailing Address - Country:US
Mailing Address - Phone:612-879-5799
Mailing Address - Fax:
Practice Address - Street 1:2124 DUPONT AVE S.
Practice Address - Street 2:SUITE G4
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55405-5540
Practice Address - Country:US
Practice Address - Phone:612-879-5799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN108501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical