Healthcare Provider Details

I. General information

NPI: 1780096883
Provider Name (Legal Business Name): MELISSA RABINOFF SNYDER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20969 VENTURA BLVD STE 216C
WOODLAND HILLS CA
91364-6690
US

IV. Provider business mailing address

204 HAMPTON DR
VENICE CA
90291-2623
US

V. Phone/Fax

Practice location:
  • Phone: 818-277-3057
  • Fax:
Mailing address:
  • Phone: 310-396-6468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number90760
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number65386
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number65386
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: