Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmella Fenske, CRADC

Individual provider Case Manager/Care Coordinator · NPI 1629512553

Carmella Fenske, CRADC is a Case Manager/Care Coordinator in Poplar Bluff, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
Specialties on file
3

Practice location Address checks out

3001 Warrior Ln
Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 9628 (MO)
Case Manager/Care Coordinator Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1629512553
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRADC
Sole proprietorYes
NPI enumeratedDecember 12, 2016
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

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