Provider Demographics
NPI:1700944832
Name:SWEENEY, SHEILA (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 VICTORIA ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-6655
Mailing Address - Country:US
Mailing Address - Phone:952-210-4225
Mailing Address - Fax:651-291-1323
Practice Address - Street 1:232 VICTORIA ST N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-6655
Practice Address - Country:US
Practice Address - Phone:952-210-4225
Practice Address - Fax:651-291-1323
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN148931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical