Individual provider Active NPI

Melanie Barbara Snyder-Lindblom, LMSW

  • Social Worker
  • Pontiac, MI
National Provider Identifier
1003042755
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801015739 Issued in MI
Practice address
300 W Huron St
Pontiac, MI 48341-1420
Phone
(248) 451-7147
Fax
(248) 334-1164
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801015739 MI Primary
Clinical Social Worker 1041C0700X 6801015739 MI

Addresses

Primary practice location

300 W Huron St
Pontiac, MI 48341-1420

Mailing address

520 Wellesley St
Birmingham, MI 48009-1519
Phone (248) 644-1629

Other identifiers 1

IdentifierTypeStateIssuer
0892585OtherMIBC/BS

Other names 1

  • Mrs. Melanie Barbara Snyder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801015739MIMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1003042755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WELLESLEY ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091519",
            "telephone_number": "248-644-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411420",
            "telephone_number": "248-451-7147",
            "fax_number": "248-334-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER-LINDBLOM",
        "first_name": "MELANIE",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801015739",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0892585",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "SNYDER",
            "middle_name": "BARBARA",
            "prefix": "MRS.",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.