Provider Demographics
NPI:1346997145
Name:SNYDER, ANDREA LANGFORD (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LANGFORD
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 W CLAPIER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-4801
Mailing Address - Country:US
Mailing Address - Phone:215-315-3249
Mailing Address - Fax:
Practice Address - Street 1:2000 N 2ND ST STE 100
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-1643
Practice Address - Country:US
Practice Address - Phone:215-346-6449
Practice Address - Fax:267-367-4528
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0241351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical