Provider Demographics
NPI:1831294925
Name:SWEET, CRISTEN LEA (LICSW, LADC)
Entity Type:Individual
Prefix:
First Name:CRISTEN
Middle Name:LEA
Last Name:SWEET
Suffix:
Gender:F
Credentials:LICSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FRUIT STREET
Mailing Address - Street 2:#2
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:978-465-3812
Mailing Address - Fax:
Practice Address - Street 1:7 SUMMER ST STE 19
Practice Address - Street 2:SEVEN HILLS BEHAVIORAL HEALTH
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3063
Practice Address - Country:US
Practice Address - Phone:978-256-1444
Practice Address - Fax:978-441-1773
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1117231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP23366Medicare ID - Type Unspecified