Provider Demographics
NPI:1376732297
Name:SWEENEY, CHANCEY A (MPA, MSW1)
Entity Type:Individual
Prefix:MISS
First Name:CHANCEY
Middle Name:A
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MPA, MSW1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 ADELINE STREET
Mailing Address - Street 2:WEST OAKLAND HEALTH COUNCIL, INC
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-0169
Mailing Address - Country:US
Mailing Address - Phone:510-465-1800
Mailing Address - Fax:
Practice Address - Street 1:2730 ADELINE ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-2408
Practice Address - Country:US
Practice Address - Phone:510-465-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program