Provider Demographics
NPI:1053640425
Name:SWEENEY, DEBORAH L (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:L
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CUMMINGS CTR.
Mailing Address - Street 2:STE, 304D QUADRA COUNSELING
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-524-4889
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CENTER
Practice Address - Street 2:STE 304D QUADRA COUNSELING ASSOCIATES,
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-524-4889
Practice Address - Fax:978-524-4882
Is Sole Proprietor?:No
Enumeration Date:2009-12-15
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA115238(LICSW)1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical