Cleaster Concetta Snerling-Woodward, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014395 Issued in MI

Practice address

201 Prospect Ave Ste 159
Hagerstown, MD 21742-3204

Phone

(301) 800-8696

Fax

(301) 637-5516

NPI assigned

Aug 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Aspen Grove Wellness

  • Psychologist
  • Hagerstown, MD
  • NPI 1497401319
  NPD

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1629487566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PROSPECT AVE # 122",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423204",
            "telephone_number": "301-800-8696",
            "fax_number": "301-637-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PROSPECT AVE STE 159",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423204",
            "telephone_number": "301-800-8696",
            "fax_number": "301-637-5516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Russell St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482074825",
            "country_code": "US",
            "telephone_number": "313-396-5300 x219",
            "fax_number": "313-396-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNERLING-WOODWARD",
        "first_name": "CLEASTER",
        "middle_name": "CONCETTA",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.