Healthcare Provider Details

I. General information

NPI: 1831583541
Provider Name (Legal Business Name): ANNALEE SWEET LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2015
Last Update Date: 03/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 FORT WASHINGTON AVE APT 3K
NEW YORK NY
10040-3705
US

IV. Provider business mailing address

112 W 27TH ST FL 7
NEW YORK NY
10001-6240
US

V. Phone/Fax

Practice location:
  • Phone: 917-628-8857
  • Fax:
Mailing address:
  • Phone: 212-645-6903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number085525
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: