MEDICARE: MRS. VERONICA GAIL SWEENEY BSW, LSW

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	1041C0700X	Clinical Social Worker	S0003172	OH

General Provider Information

NPI Number	:	1215122585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VERONICA GAIL SWEENEY BSW, LSW

Provider Business Mailing Address
First Line	:	6687 BASSWOOD DR
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-4810
Country	:	US
Telephone Number	:	440-786-8383
Fax Number	:	216-685-1945

Provider Business Practice Location Address
First Line	:	6687 BASSWOOD DR
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-4810
Country	:	US
Telephone Number	:	440-786-8383
Fax Number	:	216-685-1945

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

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	09/12/2007

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