Provider Demographics
NPI:1982906004
Name:SWEETLAND, THOMAS N (MSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:N
Last Name:SWEETLAND
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 AUBRY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2418
Mailing Address - Country:US
Mailing Address - Phone:504-610-3294
Mailing Address - Fax:
Practice Address - Street 1:137 N CLARK ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5207
Practice Address - Country:US
Practice Address - Phone:504-708-5337
Practice Address - Fax:504-708-5337
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA111291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical