{
"Npi": {
"NPI": "1750518429",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SNYDER",
"FirstName": "MELISSA",
"MiddleName": "A.",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CYR",
"OtherFirstName": "MELISSA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMSW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 2453",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEWISTON",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04241-2453",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "877-838-5741",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "290 POND RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEWISTON",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04240-3326",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "877-868-5741",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/19/2009",
"LastUpdateDate": "12/23/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "MC11383",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "MC11383",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "LC12465",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}