Provider Demographics
NPI:1427108216
Name:SWEETON, DARI K (LCSW)
Entity type:Individual
Prefix:
First Name:DARI
Middle Name:K
Last Name:SWEETON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3151
Mailing Address - Country:US
Mailing Address - Phone:610-925-5468
Mailing Address - Fax:
Practice Address - Street 1:512 KENNETT PIKE
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-7306
Practice Address - Country:US
Practice Address - Phone:610-388-2233
Practice Address - Fax:610-388-2163
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0134611041C0700X
NJ44SC045634001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
037000Medicare ID - Type Unspecified