Provider Demographics
NPI:1851477871
Name:SWEET, TOSHA NICOLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TOSHA
Middle Name:NICOLE
Last Name:SWEET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:TOSHA
Other - Middle Name:NICOLE
Other - Last Name:SWEET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:631 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-2211
Mailing Address - Country:US
Mailing Address - Phone:213-673-3001
Mailing Address - Fax:213-626-2458
Practice Address - Street 1:631 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-2211
Practice Address - Country:US
Practice Address - Phone:213-673-3001
Practice Address - Fax:213-895-6266
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 245491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical