Provider Demographics
NPI:1821102674
Name:SWEENEY, SHARON E (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:E
Last Name:SWEENEY
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 1:133 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:603-218-6556
Practice Address - Street 1:1 MERRIMAC ST STE 17
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2562
Practice Address - Country:US
Practice Address - Phone:978-225-8050
Practice Address - Fax:603-218-6556
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC88771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME100133OtherANTHEM BC/BS
NH30423698Medicaid
MEME0516Medicare ID - Type Unspecified