Individual provider Active NPI

Erin Sweeney, MSW, LCSW

  • Clinical Social Worker
  • Southport, NC
National Provider Identifier
1679000855
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015857 Issued in NC
Practice address
1111 S Shore Dr
Southport, NC 28461-8819
Phone
(910) 448-7326
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012956 NC
Clinical Social Worker 1041C0700X C015857 NC Primary

Addresses

Primary practice location

1111 S Shore Dr
Southport, NC 28461-8819

Mailing address

PO Box 1922
Leland, NC 28451-1922
Phone (910) 448-7326

Other practice location 1

4 Harriman Dr
Goshen, NY 10924-2410
Phone (845) 291-0200 ext. 32294

Other practice location 2

4 Harriman Dr
Goshen, NY 10924-2410
Phone (845) 291-0200 ext. 32294

Other practice location 3

3640 Express Dr
Shallotte, NC 28470
Phone (910) 755-5222

Other practice location 4

1226 Beamon Ln
Wilmington, NC 28412-2346
Phone (845) 521-1449

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

LicenseStateTypeSpecialty
C015857NCMDClinical Social Worker
P012956NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1679000855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1922",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511922",
            "telephone_number": "910-448-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S SHORE DR",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618819",
            "telephone_number": "910-448-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Harriman Dr",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109242410",
            "country_code": "US",
            "telephone_number": "845-291-0200 x32294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Harriman Dr",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109242410",
            "country_code": "US",
            "telephone_number": "845-291-0200 x32294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 Express Dr",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "28470",
            "country_code": "US",
            "telephone_number": "910-755-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1226 Beamon Ln",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122346",
            "country_code": "US",
            "telephone_number": "845-521-1449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "ERIN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012956",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.