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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIMOTHY CARNEY LCSW
NPI 1245931575
Social Worker - Clinical in Mequon, WI

Active since March 14, 2023PECOS Enrolled
1017 W GLEN OAKS LN STE 167, MEQUON, WI 53092(262) 305-9438 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2026, Jun 5, 2026, Mar 14, 2023 (3 updates tracked since 2023).

About Timothy Carney Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY CARNEY LCSW (NPI 1245931575) is an individual clinical provider in Mequon, Wisconsin, licensed in Wisconsin (11607-123) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245931575
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY CARNEYCredential: LCSW
Location Address1017 W GLEN OAKS LN STE 167Mequon, WI 53092-3317
Mailing Address1017 W Glen Oaks Ln Ste 167Mequon, WI 53092-3317 · (262) 305-9438
Phone(262) 305-9438
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 14, 2023
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1245931575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 11607-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1017 W GLEN OAKS LN STE 167, Mequon, WI 53092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Carney Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466928759
PECOS Enrollment IDI20260415000943
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Carney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Timothy A Carney
Same address
Clinical
1017 W GLEN OAKS LN STE 167
Mequon, WI 53092
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1184505307 (262) 305-9438

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY A CARNEY
Social Worker (Clinical)
1017 W GLEN OAKS LN STE 167
MEQUON, WI 53092
Ozaukee County (262) 305-9438
DANIELLE HANLEY PSY.D.
Psychologist (Clinical)
1017 W GLEN OAKS LN STE 167
MEQUON, WI 53092
Ozaukee County (414) 502-8102
MIND MATTERS PSYCHOLOGICAL SERVICES, S.C.
Psychologist (Clinical)
1017 W GLEN OAKS LN STE 167
MEQUON, WI 53092
Ozaukee County (414) 477-4264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Carney's NPI number?

The NPI number for Timothy Carney is 1245931575. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Where is Timothy Carney located?

Timothy Carney practices at 1017 W Glen Oaks Ln Ste 167, Mequon, WI 53092. The listed phone number is (262) 305-9438.

What is Timothy Carney's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Timothy Carney enrolled in Medicare?

Yes. Timothy Carney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Carney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Carney reassigns Medicare benefits to Timothy A Carney (Mequon, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Carney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Carney accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and UnitedHealthcare list Timothy Carney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Carney was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.