Jessica Mary Sweeney, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22788 Issued in MN

Practice address

324 W Superior St Ste 911
Duluth, MN 55802-1717

Phone

(218) 270-5055

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore Mental Health Services

  • Mental Health Counselor
  • Duluth, MN
  • NPI 1215480660
  NPD (past)
• SMDC Medical Center

  dba Essentia Health Duluth

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1033153895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1184074940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 911",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021717",
            "telephone_number": "218-270-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 911",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021717",
            "telephone_number": "218-270-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Redwing St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558031706",
            "country_code": "US",
            "telephone_number": "218-623-6442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Pecan Avenue",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558112749",
            "country_code": "US",
            "telephone_number": "218-355-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "JESSICA",
        "middle_name": "MARY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "22788",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Swanstrom, REGISTERED NURSE
• Rikki Jo Swartz, RN
• Liesl Marie Swearingen, MD
• Thomas Wade Swedberg, APRN, CNP
• Brandy Lee Sweeney, DO
• Patti Jo Sweeney, RN
• Susan Jane Swendsen, CNS, RN, MS
• Allison Nicole Swenson, APRN, CNP
• Jacob Ryan Swette, LAC
• Breanna Aline Swint

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.