MEDICARE: PHILIP S SWEET LCSW

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	34005607A	IN

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

General Provider Information

NPI Number	:	1689683310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP S SWEET LCSW

Provider Business Mailing Address
First Line	:	8180 CLEARVISTA PARKWAY
Second Line	:	SUITE 230 ATTN SHERRY MUELLER
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-4649
Country	:	US
Telephone Number	:	317-621-7561
Fax Number	:	317-621-7470

Provider Business Practice Location Address
First Line	:	5502 EAST 16TH STREET
Second Line	:	SUITE A31
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-4942
Country	:	US
Telephone Number	:	317-355-1800
Fax Number	:

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/29/2009

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Directions to “ PHILIP S SWEET LCSW” Practice Location

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