Healthcare Provider Details

I. General information

NPI: 1679298475
Provider Name (Legal Business Name): DAVID J SWEET LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 DOANSBURG RD OFC
BREWSTER NY
10509-5902
US

IV. Provider business mailing address

13 GLENNA DR
CARMEL NY
10512-1501
US

V. Phone/Fax

Practice location:
  • Phone: 845-279-2995
  • Fax: 845-279-2714
Mailing address:
  • Phone: 914-260-4921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number043945
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: