Individual provider Active NPI

Patricia Catalina Carney, LMSW, CSW-INTERN

  • Clinical Social Worker
  • Fernley, NV
National Provider Identifier
1770215436
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11089-C Issued in NV
Practice address
165 W Main St
Fernley, NV 89408-7733
Phone
(775) 393-9776
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X M-9425 NV
Clinical Social Worker 1041C0700X 11089-C NV Primary

Addresses

Primary practice location

165 W Main St
Fernley, NV 89408-7733

Mailing address

165 W Main St
Fernley, NV 89408-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11089-CNVMDClinical Social Worker
M-9425NVMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trishs Emdr and Behavioral Health Services Clinical CurrentSince Aug 25, 2025 Accepting new patients
Maple Star Nevada LLC Multi-Specialty PastSince Jul 1, 2022 Accepting new patients

Locations

165 W Main St
Ste A
Fernley, NV 89408

165 W Main St
Fernley, NV 89408
Phone (775) 393-9776

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1770215436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W MAIN ST",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894087733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W MAIN ST",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894087733",
            "telephone_number": "775-393-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "PATRICIA",
        "middle_name": "CATALINA",
        "credential": "LMSW, CSW-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "M-9425",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11089-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.