Timothy J. Sweeney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004812 Issued in VA

Practice address

11244 Waples Mill Rd
Suite K
Fairfax, VA 22030-6040

Phone

(703) 359-4848

Fax

(703) 991-9130

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

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.

• Timothy J. Sweeney, P.C.

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1376643288
  NPD (past) Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397347200000",
    "number": "1659327476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11244 WAPLES MILL RD",
            "address_2": "SUITE K",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306040",
            "telephone_number": "703-359-4848",
            "fax_number": "703-991-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11244 WAPLES MILL RD",
            "address_2": "SUITE K",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306040",
            "telephone_number": "703-359-4848",
            "fax_number": "703-991-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "8495 0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "305829",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "353143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Swaiman, M.A., CCC-SLP
• Emma Swedberg, M.A., CCC-SLP
• Gregory J Swedo, M.D.
• Kelly Sweeney
• Meghan Jean Sweeney
• Austin Swift
• Richard A Swift, M.D.
• Belicia Swinson, LCSW
• De'Stanye Swittenberg
• Anne N Swoope, DPT

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.