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NPI Code Detail

MEDICARE: MR. GREGORY SNEAD LCSW

MEDICARE: MR. GREGORY SNEAD 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
11041C0700XClinical Social WorkerQ1-0011928DE

General Provider Information

NPI Number : 1972962041
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GREGORY SNEAD LCSW
Provider Business Mailing Address
First Line : 15 SIR THOMAS LN
Second Line :
City : NEWARK
State : DE
Zip : 19702-4179
Country : US
Telephone Number : 302-249-8224
Fax Number :
Provider Business Practice Location Address
First Line : 15 SIR THOMAS LN
Second Line :
City : NEWARK
State : DE
Zip : 19702-4179
Country : US
Telephone Number : 302-249-8224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2016
Last Update Date : 02/11/2022

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