Individual provider Active NPI

Carmel Grace Sweeney, LCSW, PLLC

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1184602260
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002806 Issued in NC
Practice address
356B Raleigh St
Holly Springs, NC 27540-9047
Phone
(919) 810-7729
Fax
(919) 387-9217
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C002806 NC Primary

Addresses

Primary practice location

356B Raleigh St
Holly Springs, NC 27540-9047

Mailing address

3434 -135 Kildaire Farm Rd
PMB #122
Cary, NC 27518-2277
Phone (919) 810-7729

Other identifiers 1

IdentifierTypeStateIssuer
6003382MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 18, 2024 through May 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C002806NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel G Sweeney, LCSW, PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1184602260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 -135 KILDAIRE FARM RD",
            "address_2": "PMB #122",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275182277",
            "telephone_number": "919-810-7729",
            "fax_number": "919-387-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356B RALEIGH ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409047",
            "telephone_number": "919-810-7729",
            "fax_number": "919-387-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "CARMEL",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003382",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.