Provider Demographics
NPI:1275176976
Name:SNYDER, MELANIE (LICSW)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 SOUTH CHURCH ST.
Mailing Address - Street 2:SUITE 22 FLOOR 6
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6941
Mailing Address - Country:US
Mailing Address - Phone:413-224-8716
Mailing Address - Fax:
Practice Address - Street 1:75 SOUTH CHURCH ST.
Practice Address - Street 2:SUITE 22 FLOOR 6
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6941
Practice Address - Country:US
Practice Address - Phone:413-224-8716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0001244691041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical