Provider Demographics
NPI:1710186283
Name:MCSWEENEY, BERNADETTE T (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:T
Last Name:MCSWEENEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 EAST ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1340
Mailing Address - Country:US
Mailing Address - Phone:203-270-0894
Mailing Address - Fax:203-270-0894
Practice Address - Street 1:4 EAST ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1340
Practice Address - Country:US
Practice Address - Phone:203-270-0894
Practice Address - Fax:203-270-0894
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0349391041C0700X
CT004101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP961719OtherOXFORD HEALTH PLANS
NYP961719OtherOXFORD HEALTH PLASNS
CT278589OtherMANAGED HEALTH NETWORK
NY278589OtherMANAGED HEALTH NETWORK
CTP961719OtherOXFORD HEALTH PLANS