Tracy Sweeney, LICSW

Individual provider Active NPI Clinical Social Worker · Waterbury Center, VT

NPI 1861591778 · NPPES record last updated Feb 13, 2025

Key facts

NPI
1861591778
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
089.0136121 (VT)
Practice address
PO Box 48
Waterbury Center, VT 05677-0048
Phone
(802) 971-5470
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
110125MAMDClinical Social Worker
089.0136121VTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110125 MA
Clinical Social Worker 1041C0700X 089.0136121 VT Yes

Addresses

Primary practice location

PO Box 48
Waterbury Center, VT 05677-0048

Mailing address

PO Box 48
Waterbury Center, VT 05677-0048
Phone (802) 917-5470

Other providers in Waterbury Center, VT

All providers in Waterbury Center, VT · Clinical Social Worker in Vermont

Sources for this page

Verify at the official NPI Registry.