Provider Demographics
NPI:1689176018
Name:SNIDER, JOSEPH D (MSW, LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:SNIDER
Suffix:
Gender:M
Credentials:MSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5764 YELLOWROSE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2500
Mailing Address - Country:US
Mailing Address - Phone:302-495-9773
Mailing Address - Fax:
Practice Address - Street 1:5764 YELLOWROSE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2500
Practice Address - Country:US
Practice Address - Phone:302-495-9773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD231901041C0700X
DCLC500804371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical