Provider Demographics
NPI:1609143148
Name:SWEET, ELIZABETH AMY (LCSW-R)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:AMY
Last Name:SWEET
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MARBLE RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061-2405
Mailing Address - Country:US
Mailing Address - Phone:518-598-3113
Mailing Address - Fax:
Practice Address - Street 1:9 MARBLE RD
Practice Address - Street 2:
Practice Address - City:EAST GREENBUSH
Practice Address - State:NY
Practice Address - Zip Code:12061-2405
Practice Address - Country:US
Practice Address - Phone:518-598-3113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0774421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical