MEDICARE: ALLEN SNYDER LCSW-C

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	19068	MD

General Provider Information

NPI Number	:	1548781834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN SNYDER LCSW-C

Provider Business Mailing Address
First Line	:	PO BOX 973
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21158-0973
Country	:	US
Telephone Number	:	410-848-5785
Fax Number	:	410-848-5629

Provider Business Practice Location Address
First Line	:	138 W WASHINGTON ST
Second Line	:	# 228
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-4734
Country	:	US
Telephone Number	:	540-999-8418
Fax Number	:

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

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	02/18/2020

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