Healthcare Provider Details

I. General information

NPI: 1174439996
Provider Name (Legal Business Name): BRIAN PATRICK SWEENEY LSW;LCDC3
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EAGLES WAY
MILFORD OH
45150-2086
US

IV. Provider business mailing address

945 MOHAWK TRL
MILFORD OH
45150-1713
US

V. Phone/Fax

Practice location:
  • Phone: 513-831-2990
  • Fax:
Mailing address:
  • Phone: 513-576-2380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number081235
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.0006604
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: