Provider Demographics
NPI:1679000855
Name:SWEENEY, ERIN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1922
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-1922
Mailing Address - Country:US
Mailing Address - Phone:910-448-7326
Mailing Address - Fax:
Practice Address - Street 1:1111 S SHORE DR
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-8819
Practice Address - Country:US
Practice Address - Phone:910-448-7326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-18
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0129561041C0700X
NCC0158571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical