Provider Demographics
NPI:1184602260
Name:SWEENEY, CARMEL GRACE (LCSW, PLLC)
Entity type:Individual
Prefix:MRS
First Name:CARMEL
Middle Name:GRACE
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:LCSW, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3434 -135 KILDAIRE FARM RD
Mailing Address - Street 2:PMB #122
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-2277
Mailing Address - Country:US
Mailing Address - Phone:919-810-7729
Mailing Address - Fax:919-387-9217
Practice Address - Street 1:356B RALEIGH ST
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9047
Practice Address - Country:US
Practice Address - Phone:919-810-7729
Practice Address - Fax:919-387-9217
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0028061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003382Medicaid
NC6003382Medicaid