Provider Demographics
NPI:1619096179
Name:SWEESY, GRETA D (LCSW)
Entity Type:Individual
Prefix:
First Name:GRETA
Middle Name:D
Last Name:SWEESY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GRETA
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4906 HIGHWAY 29 N
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-9524
Mailing Address - Country:US
Mailing Address - Phone:870-703-5740
Mailing Address - Fax:
Practice Address - Street 1:4906 HIGHWAY 29 N
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-9524
Practice Address - Country:US
Practice Address - Phone:870-703-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6157-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical