Provider Demographics
NPI:1821150152
Name:SWEET, MELANIE (LICSW)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SWEET
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PARSONS WALK
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2830
Mailing Address - Country:US
Mailing Address - Phone:781-834-7900
Mailing Address - Fax:
Practice Address - Street 1:2016 OCEAN ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-3115
Practice Address - Country:US
Practice Address - Phone:781-834-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1021843101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA257634OtherCIGNA
MA345605OtherMHN
MAP08414OtherBLUE CROSS BLUE SHIELD
MA144378OtherPRIVATEHEALTHCARE SYSTEMS
MA028065OtherVALUE OPTIONS
MAP08414OtherBLUE CROSS BLUE SHIELD