Individual provider Active NPI

Mary-Margaret Sweeney, MSW, LSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1871181008
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33009191A Issued in IN
Practice address
711 S East St # 2D
Indianapolis, IN 46225-1317
Phone
(317) 689-8611
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 33009191A IN Primary

Addresses

Primary practice location

711 S East St # 2D
Indianapolis, IN 46225-1317

Mailing address

711 S East St # 2D
Indianapolis, IN 46225-1317
Phone (317) 689-8611

Other practice location 1

115 S Hawthorne Ln
Indianapolis, IN 46219-6311
Phone (773) 680-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 17, 2024 through Apr 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33009191AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1871181008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S EAST ST # 2D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251317",
            "telephone_number": "317-689-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S EAST ST # 2D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251317",
            "telephone_number": "317-689-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 S Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462196311",
            "country_code": "US",
            "telephone_number": "773-680-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MARY-MARGARET",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33009191A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.