Sara Brooke Snyder, MSW

Individual provider Active NPI Clinical Social Worker · Centerbrook, CT

NPI 1104993575 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104993575
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
004550 (CT)
Practice address
68 Main St
Centerbrook, CT 06409-1001
Phone
(860) 767-2266
Fax
(860) 767-5067
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004550 CT Yes

Addresses

Primary practice location

68 Main St
Centerbrook, CT 06409-1001

Mailing address

68 Main St
PO Box 182
Centerbrook, CT 06409-1001
Phone (860) 767-2266

Other providers in Centerbrook, CT

All providers in Centerbrook, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.