Individual provider Active NPI

Nicole A Snyder, LCSW

  • Clinical Social Worker
  • La Porte, IN
National Provider Identifier
1952932915
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008565A Issued in IN
Practice address
101 W 18TH St
La Porte, IN 46350-6830
Phone
(218) 342-2415
Fax
(219) 370-6088
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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 34008565A IN Primary

Addresses

Primary practice location

101 W 18TH St
La Porte, IN 46350-6830

Mailing address

512 Andrew Ave # 120
La Porte, IN 46350-4633
Phone (219) 342-2415

Other practice location 1

1714 A St
LA Porte, IN 46350-5925
Phone (219) 342-2415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200721000131 IN Practitioner - Clinical Social Worker 2163846486 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barber Mental Health Associates LLC Clinical PastSince Aug 27, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1952932915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ANDREW AVE # 120",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504633",
            "telephone_number": "219-342-2415",
            "fax_number": "219-370-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 18TH ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463506830",
            "telephone_number": "218-342-2415",
            "fax_number": "219-370-6088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1714 A St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505925",
            "country_code": "US",
            "telephone_number": "219-342-2415",
            "fax_number": "219-370-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008565A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.