Provider Demographics
NPI:1497730410
Name:SNYDER, PATRICIA WARFIELD (RN, LCSW-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:WARFIELD
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RN, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1978
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21802-1978
Mailing Address - Country:US
Mailing Address - Phone:410-749-1015
Mailing Address - Fax:410-749-0654
Practice Address - Street 1:12145 ELM ST
Practice Address - Street 2:
Practice Address - City:PRINCESS ANNE
Practice Address - State:MD
Practice Address - Zip Code:21853-1358
Practice Address - Country:US
Practice Address - Phone:410-651-2204
Practice Address - Fax:410-651-0790
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD080251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
521860379OtherUNITED BEHAVIORAL HEALTH
457738000OtherMAGELLAN HEALTH
4339768OtherAETNA
E1540035OtherCAREFIRST BLUE CHOICE
MD119591300Medicaid
119591300OtherMD PHYSICIANS CARE
174355OtherANTHEM
2450822OtherMAMSI
054635OtherJHHC
4339768OtherAETNA