Provider Demographics
NPI:1871181008
Name:SWEENEY, MARY-MARGARET (MSW, LSW)
Entity type:Individual
Prefix:
First Name:MARY-MARGARET
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 S EAST ST # 2D
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46225-1317
Mailing Address - Country:US
Mailing Address - Phone:317-689-8611
Mailing Address - Fax:
Practice Address - Street 1:711 S EAST ST # 2D
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46225-1317
Practice Address - Country:US
Practice Address - Phone:317-689-8611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33009191A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical