NICHOLAS SWEENEY – Clinical Social Worker, NPI 1063957819

NICHOLAS SWEENEY is a healthcare provider. based in South portland, Maine. specializing in CLINICAL SOCIAL WORKER. They hold a License No. LC17282 (ME). The NPI Number for NICHOLAS SWEENEY is 1063957819

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS SWEENEY
NPI
1063957819
Phone
(207) 874-1175
Address
50 LYDIA LN
Enumeration Date
4 January 2017
Last Update Date
4 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074948010
Graduation Year
2015 (11 years ago)
PAC ID
3971977513
Group Practice PAC ID
6800014614
Professional Enrollment ID
I20230321002316
Address ID
ME040052412BI281XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

1,104 CLINICAL SOCIAL WORKER in ME

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Provider Addresses for NICHOLAS SWEENEY

  • 50, Lydia Lane, South Portland Gardens, South Portland, Cumberland County, Maine, 04106, United States

    SOUTH PORTLAND, ME 041062156

    Phone: (207) 874-1175

    Type: Mailing

  • 74 BEACH ST

    SACO, ME 040722984

    Phone: (207) 502-9353

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230321002316IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800014614View full group profile
NameSpecialtyState
Clinical Social WorkerME
Clinical Social WorkerME
Clinical Social WorkerTN
Clinical Social WorkerME
Clinical Social WorkerME
Mental Health CounselorME
-ME
Clinical Social WorkerME
Clinical Social WorkerME

Reviews

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Frequently asked questions

What identifier follows NICHOLAS SWEENEY across health systems?
The NPI 1063957819 uniquely identifies NICHOLAS SWEENEY in U.S. healthcare data.
Does the public listing show NICHOLAS SWEENEY as active?
NICHOLAS SWEENEY's NPI record reflects an active status in NPPES.
How should patients interpret NICHOLAS SWEENEY's specialty?
The extract shows Clinical Social Worker for NICHOLAS SWEENEY. Clinical services aligned with this taxonomy classification.
Is NICHOLAS SWEENEY tied to South Portland, Maine?
If you are local to South Portland, Maine, NICHOLAS SWEENEY may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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