MEDICARE: SARAH NAOMI SWEENEY NCMA, CAA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	CG61492618	WA
2	101YM0800X	Mental Health Counselor	CG61492618	WA
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	CG61492618	WA
4	101YM0800X	Mental Health Counselor	364SP0808X	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093282667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NAOMI SWEENEY NCMA, CAA

Provider Business Mailing Address
First Line	:	682 SW FAIRHAVEN DR
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-4533
Country	:	US
Telephone Number	:	564-676-1289
Fax Number	:

Provider Business Practice Location Address
First Line	:	682 SW FAIRHAVEN DR
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-4533
Country	:	US
Telephone Number	:	564-676-1289
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	01/24/2026

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