Provider Demographics
NPI:1518632546
Name:SWEET, ELENA MICHELLE (MSW, ASW)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:MICHELLE
Last Name:SWEET
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:MICHELLE
Other - Last Name:WINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3821 S 100TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-4126
Mailing Address - Country:US
Mailing Address - Phone:623-670-9765
Mailing Address - Fax:
Practice Address - Street 1:3821 S 100TH AVE
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-4126
Practice Address - Country:US
Practice Address - Phone:623-670-9765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1012761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical