Provider Demographics
NPI:1932247004
Name:SNIFFEN, JOHN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:SNIFFEN
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2722
Mailing Address - Country:US
Mailing Address - Phone:413-586-3312
Mailing Address - Fax:413-586-3312
Practice Address - Street 1:94 KING ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3284
Practice Address - Country:US
Practice Address - Phone:413-586-3312
Practice Address - Fax:413-586-3312
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10193591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical