Individual provider Active NPI

Rachelle Louise Snyder, LCSW

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1356658207
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7950 Issued in FL
Practice address
4181 S Pine Island Rd
Davie, FL 33328-2833
Phone
(954) 274-1699
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW7950 FL Primary

Addresses

Primary practice location

4181 S Pine Island Rd
Davie, FL 33328-2833

Mailing address

4181 S Pine Island Rd
Davie, FL 33328-2833
Phone (954) 274-1699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428002599 MD Practitioner - Clinical Social Worker 5395928576 Reassigns benefits to 1 organization
Practice locations: Hunt Valley, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11350 McCormick Rd
Suite 408
Hunt Valley, MD 21031-1002
Phone (954) 274-1699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22693MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochelle Snyder LLC Clinical CurrentSince Sep 6, 2022 Accepting new patients
Chrysalis Center, LLC Past Accepting new patients

Locations

11350 McCormick Rd
Ste 408
Hunt Valley, MD 21031
Phone (410) 527-0280

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.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1356658207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282833",
            "telephone_number": "954-274-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282833",
            "telephone_number": "954-274-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "RACHELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.