Healthcare Provider Details

I. General information

NPI: 1942800834
Provider Name (Legal Business Name): COLLEEN AMBER SNITZER LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 HEALTHWAY DR
SALISBURY MD
21804-4469
US

IV. Provider business mailing address

PO BOX 1978
SALISBURY MD
21802-1978
US

V. Phone/Fax

Practice location:
  • Phone: 410-219-5483
  • Fax: 410-219-5486
Mailing address:
  • Phone: 410-749-1015
  • Fax: 410-749-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number26183
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: