Timothy Carney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11607-123 Issued in WI

Practice address

1017 W Glen Oaks LN Ste 167
Mequon, WI 53092-3317

Phone

(262) 305-9438

NPI assigned

Mar 14, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Timothy a Carney

  • Clinical Social Worker
  • Mequon, WI
  • NPI 1184505307
  Medicare reassignment NPD Authorized official
• Lighthouse Counseling Services, LLC

  • Professional Counselor
  • Pewaukee, WI
  • NPI 1821799370
  NPD (past)
• Professional Services Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1619024262
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1245931575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN STE 167",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923317",
            "telephone_number": "262-305-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN STE 167",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923317",
            "telephone_number": "262-305-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "TIMOTHY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11607-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiographics Physicians St. Mary'S Ozaukee
• Care by an Angel LLC
• Alexandra Martha Carlson, MS, OTR, CHT
• Cassandra A Carlson, LCSW
• Susan O Carneol, M.S., CCC-SLP
• Craig Renold Carr, DDS
• Yolanda Della Carr III
• Brandan Charles Carrell, DPT, PT
• Carriage Homes, LLC
• Casey McCarragher LLC

• Clinical Social Worker in Mequon, WI
• Providers in Mequon, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.