Provider Demographics
NPI:1598457079
Name:SNIDER, KALEIGH MARIE (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:KALEIGH
Middle Name:MARIE
Last Name:SNIDER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MAIN STREET
Mailing Address - Street 2:PO BOX 104
Mailing Address - City:TAYLORSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15365
Mailing Address - Country:US
Mailing Address - Phone:724-825-7606
Mailing Address - Fax:
Practice Address - Street 1:2 MAIN ST
Practice Address - Street 2:
Practice Address - City:TAYLORSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15365-1006
Practice Address - Country:US
Practice Address - Phone:724-825-7606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138605104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker