MEDICARE: MR. DARRELL WILLIAM SNYDER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	L0849SR	OR

General Provider Information

NPI Number	:	1568767820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DARRELL WILLIAM SNYDER LCSW

Provider Business Mailing Address
First Line	:	2868 WILLAMETTE ST STE 100
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-7208
Country	:	US
Telephone Number	:	541-684-3988
Fax Number	:

Provider Business Practice Location Address
First Line	:	2868 WILLAMETTE ST STE 100
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-7208
Country	:	US
Telephone Number	:	541-684-3988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	05/31/2026

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