Provider Demographics
NPI:1962660563
Name:TAYLOR-SNEL, MARCELLA ANDREA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARCELLA
Middle Name:ANDREA
Last Name:TAYLOR-SNEL
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 1:23552 NEWHALL AVE
Mailing Address - Street 2:#1
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321
Mailing Address - Country:US
Mailing Address - Phone:661-287-4284
Mailing Address - Fax:
Practice Address - Street 1:23552 NEWHALL AVE
Practice Address - Street 2:#1
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321
Practice Address - Country:US
Practice Address - Phone:661-287-4284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA181191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical