Provider Demographics
NPI:1639379993
Name:SWEENEY, HEATHER MARLENE (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MARLENE
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 MAIN ST
Mailing Address - Street 2:SUITE 1-2
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5547
Mailing Address - Country:US
Mailing Address - Phone:978-895-1176
Mailing Address - Fax:
Practice Address - Street 1:42 MAIN ST
Practice Address - Street 2:SUITE 1-2
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5547
Practice Address - Country:US
Practice Address - Phone:978-895-1176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical