Provider Demographics
NPI:1407285687
Name:SWEENEY, VALERIE LYN (LPN)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYN
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 MARGIN ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3341
Mailing Address - Country:US
Mailing Address - Phone:978-744-0500
Mailing Address - Fax:978-740-3832
Practice Address - Street 1:56 MARGIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3341
Practice Address - Country:US
Practice Address - Phone:978-744-0500
Practice Address - Fax:978-740-3832
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN89317164W00000X
MALSWA416112104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No164W00000XNursing Service ProvidersLicensed Practical Nurse