Provider Demographics
NPI:1669611489
Name:SNIDER, JENNIFER DANIELLE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:DANIELLE
Last Name:SNIDER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3318 ARTHUR MINNIS RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-8389
Mailing Address - Country:US
Mailing Address - Phone:919-929-3395
Mailing Address - Fax:
Practice Address - Street 1:3318 ARTHUR MINNIS RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8389
Practice Address - Country:US
Practice Address - Phone:919-929-3395
Practice Address - Fax:919-929-3395
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical