Provider Demographics
NPI:1780385526
Name:SWEEN, PIETER HARTWIG (LCSW)
Entity type:Individual
Prefix:MR
First Name:PIETER
Middle Name:HARTWIG
Last Name:SWEEN
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:PO BOX 1143
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-1143
Mailing Address - Country:US
Mailing Address - Phone:406-544-7684
Mailing Address - Fax:
Practice Address - Street 1:840 ROLLINS ST APT C
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-3709
Practice Address - Country:US
Practice Address - Phone:406-544-7684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-431801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical