Provider Demographics
NPI:1851478465
Name:SWEENEY, IRENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:
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 1:309 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3258
Mailing Address - Country:US
Mailing Address - Phone:516-333-7303
Mailing Address - Fax:516-414-0277
Practice Address - Street 1:309 MADISON ST
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3258
Practice Address - Country:US
Practice Address - Phone:516-333-7303
Practice Address - Fax:516-414-0277
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0699231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical