Active NPI
Stephan Patrick Sweeton, L.C.S.W.
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1265990808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 83761
- Practice address
- 3021 Juniper St
San Diego, CA 92104-5442 - Phone
- (808) 227-6159
- NPI assigned
- Mar 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3854 | HI | |
| Clinical Social Worker | 1041C0700X | 83761 | CA | Primary |
Addresses
Primary practice location
3021 Juniper St
San Diego, CA 92104-5442
Mailing address
3021 Juniper St
San Diego, CA 92104-5442
Phone (808) 227-6159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83761 | CA | MD | Clinical Social Worker |
| 3854 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551484800000",
"number": "1265990808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 JUNIPER ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921045442",
"telephone_number": "808-227-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 JUNIPER ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921045442",
"telephone_number": "808-227-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEETON",
"first_name": "STEPHAN",
"middle_name": "PATRICK",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-02",
"last_updated": "2019-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3854",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "83761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.