Provider Demographics
NPI:1639635881
Name:SWEENEY, PATRICK JAMES (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:JAMES
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4909
Mailing Address - Country:US
Mailing Address - Phone:732-476-4340
Mailing Address - Fax:
Practice Address - Street 1:36 W 25TH ST FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2753
Practice Address - Country:US
Practice Address - Phone:732-476-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-13
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058081001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical