Provider Demographics
NPI:1851469530
Name:SWEET, MARILYN K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:K
Last Name:SWEET
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 1:8505 GULANA AVE
Mailing Address - Street 2:#5205
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-8380
Mailing Address - Country:US
Mailing Address - Phone:310-823-5822
Mailing Address - Fax:
Practice Address - Street 1:1925 DALY ST
Practice Address - Street 2:FLOOR 2
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90031-3309
Practice Address - Country:US
Practice Address - Phone:323-226-4448
Practice Address - Fax:323-223-8380
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical