Michelle Marie Sweetser, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1355630719 Issued in CA

Practice address

710 C St Ste 8
San Rafael, CA 94901-3853

Phone

(415) 485-6736

NPI assigned

Sep 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Marin Outpatient and Recovery Services

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1285941807
  NPD (past)

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1952951824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W SAN MARCOS BLVD SPC 68",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783914",
            "telephone_number": "619-379-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 C ST STE 8",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013853",
            "telephone_number": "415-485-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETSER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1355630719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@marinoutpatient.com",
            "affiliation": "N",
            "endpointDescription": "lferguson@marinoutpatient.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Intake/progress/discharge",
            "address_1": "710 C St Ste 8",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949013853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jawana J Swanson, RCP, RRT
• Courtney Alexandra Swatta, M.A., PSY D.
• Penny Lynn Swaybill, M.S.
• Pamela Christina Sweeney, M.A., L.M.F.T.
• Kristen Sweet
• Rehan Ryan Mir Syed, MD, MSC
• Barbara J Sylvester, MSW LCSW
• Synergyhomecare Ca62
• Katalin Szabo
• Michael Szymanski

• Addiction (Substance Use Disorder) Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.