Provider Demographics
NPI:1447597935
Name:CAREY, ARLEN (PHD, LICSW)
Entity type:Individual
Prefix:
First Name:ARLEN
Middle Name:
Last Name:CAREY
Suffix:
Gender:M
Credentials:PHD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 2ND STREET SW SUITE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902
Mailing Address - Country:US
Mailing Address - Phone:507-218-2424
Mailing Address - Fax:
Practice Address - Street 1:1652 GREENVIEW DR SW
Practice Address - Street 2:STE 290
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-4219
Practice Address - Country:US
Practice Address - Phone:507-289-0385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN181361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical