Provider Demographics
NPI:1013181965
Name:SNOEYINK, GINA MARIE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:MARIE
Last Name:SNOEYINK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:SNOEYINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:780 W LAKE LANSING RD STE 100
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8452
Mailing Address - Country:US
Mailing Address - Phone:517-618-9653
Mailing Address - Fax:517-252-2689
Practice Address - Street 1:780 W LAKE LANSING RD STE 100
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8452
Practice Address - Country:US
Practice Address - Phone:517-618-9653
Practice Address - Fax:517-252-2689
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010872161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical