Active NPI
Donna M Snyder, LCSW, CAC DIPLOMATE
- Clinical Social Worker
- Erie, PA
National Provider Identifier
1053410779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013311
- Practice address
- 1910 Sassafras St
Suite 100
Erie, PA 16502-2716 - Phone
- (814) 452-5490
- Fax
- (814) 452-7610
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013311 | PA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4586 CAC DIPLOMATE | PA |
Addresses
Primary practice location
1910 Sassafras St
Suite 100
Erie, PA 16502-2716
Mailing address
12635 Plank Rd
Waterford, PA 16441-9023
Phone (814) 860-5036
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4586 CAC DIPLOMATE | PA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincent Medical Education and Research Institute | Past | Accepting new patients | |
| Abcs of Building Better Lives LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Erie, PA
- NPI 1922336940
-
- Family Medicine Physician
- Albion, PA
- NPI 1558462259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1053410779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12635 PLANK RD",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164419023",
"telephone_number": "814-860-5036",
"fax_number": "814-860-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 SASSAFRAS ST",
"address_2": "SUITE 100",
"city": "ERIE",
"state": "PA",
"postal_code": "165022716",
"telephone_number": "814-452-5490",
"fax_number": "814-452-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "DONNA",
"middle_name": "M",
"credential": "LCSW, CAC DIPLOMATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013311",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "4586 CAC DIPLOMATE",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.