Provider Demographics
NPI:1699724575
Name:MCSWEENEY, JAMES R (LCSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:MCSWEENEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4332 TUSCARORA RD
Mailing Address - Street 2:
Mailing Address - City:ERIEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13061-3244
Mailing Address - Country:US
Mailing Address - Phone:315-684-7759
Mailing Address - Fax:
Practice Address - Street 1:135 OLD COVE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-3767
Practice Address - Country:US
Practice Address - Phone:315-451-2161
Practice Address - Fax:315-451-3886
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR028633-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical