Provider Demographics
NPI:1215122585
Name:SWEENEY, VERONICA GAIL (BSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:GAIL
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:BSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6687 BASSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-4810
Mailing Address - Country:US
Mailing Address - Phone:440-786-8383
Mailing Address - Fax:216-685-1945
Practice Address - Street 1:6687 BASSWOOD DR
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-4810
Practice Address - Country:US
Practice Address - Phone:440-786-8383
Practice Address - Fax:216-685-1945
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS00031721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical