Provider Demographics
NPI:1750654216
Name:SHARON E. SWEENEY, LCSW, INC.
Entity Type:Organization
Organization Name:SHARON E. SWEENEY, LCSW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:978-225-8050
Mailing Address - Street 1:133 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4524
Mailing Address - Country:US
Mailing Address - Phone:978-225-8050
Mailing Address - Fax:978-792-5356
Practice Address - Street 1:13 GREEN ST.
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2652
Practice Address - Country:US
Practice Address - Phone:978-225-8050
Practice Address - Fax:978-792-5356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA116155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30425241Medicaid