Provider Demographics
NPI:1245452135
Name:SNAVELY, WILLIAM P (LCSW-C)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:P
Last Name:SNAVELY
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:SNAVELY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:106 MILFORD STREET
Mailing Address - Street 2:SUITE 501-B
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804
Mailing Address - Country:US
Mailing Address - Phone:410-546-6407
Mailing Address - Fax:
Practice Address - Street 1:106 MILFORD STREET
Practice Address - Street 2:SUITE 501-B
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804
Practice Address - Country:US
Practice Address - Phone:410-546-1692
Practice Address - Fax:410-548-9056
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00275101YM0800X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD241LMedicare ID - Type Unspecified