Active NPI
Suellen Snyder, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1366876385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R029111-1
- Practice address
- 80 East 11TH Street
Suite 239
New York, NY 10003-6817 - Phone
- (917) 318-8413
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R029111-1 | NY | Primary |
Addresses
Primary practice location
80 East 11TH Street
Suite 239
New York, NY 10003-6817
Mailing address
80 East 11TH Street
Suite 239
New York, NY 10003-6817
Phone (917) 318-8413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R029111-1 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT-PROFESSIONAL LICENSING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R029111-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1366876385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 EAST 11TH STREET",
"address_2": "SUITE 239",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036817",
"telephone_number": "917-318-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 EAST 11TH STREET",
"address_2": "SUITE 239",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036817",
"telephone_number": "917-318-8413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "SUELLEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R029111-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT-PROFESSIONAL LICENSING",
"identifier": "R029111-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.