Individual provider Active NPI

Edith Elin Snyderman, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1437850229
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006781 Issued in CT
Practice address
7 Kenosia Ave
Danbury, CT 06810-7395
Phone
(475) 329-2686
Fax
(203) 456-3161
NPI assigned
Mar 17, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 006781 CT Primary

Addresses

Primary practice location

7 Kenosia Ave
Danbury, CT 06810-7395

Mailing address

15 Lincoln Street, First Floor
15 Lincoln Street, First Floor
Westport, CT 06880-0241
Phone (203) 912-0993

Other practice location 1

15 Lincoln Street, First Floor
Westport, CT 06880-0241
Phone (203) 912-0993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20231116000436 CT Practitioner - Clinical Social Worker 4587011366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7 Kenosia Ave
Danbury, CT 06810-7395
Phone (475) 329-2677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006781CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Institute for Neuropsychiatry and Behavioral Med Clinical CurrentSince Oct 5, 2023 Accepting new patients

Locations

7 Kenosia Ave
Danbury, CT 06810
Phone (475) 329-2677

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1437850229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LINCOLN STREET, FIRST FLOOR",
            "address_2": "15 LINCOLN STREET, FIRST FLOOR",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068800241",
            "telephone_number": "203-912-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107395",
            "telephone_number": "475-329-2686",
            "fax_number": "203-456-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Lincoln Street, First Floor",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068800241",
            "country_code": "US",
            "telephone_number": "203-912-0993",
            "fax_number": "203-899-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDERMAN",
        "first_name": "EDITH",
        "middle_name": "ELIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.