Mary Alice Snydersmith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149027101 Issued in IL

Practice address

200 E 5TH Ave Ste 109
Naperville, IL 60563-3173

Phone

(630) 791-0671

NPI assigned

May 2, 2024

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1992552301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE STE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633173",
            "telephone_number": "630-791-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 5TH AVE STE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633173",
            "telephone_number": "630-791-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDERSMITH",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Snarskis, APRN
• Danielle Snedden, PSY.D.
• Grace Snider, RBT
• Cristina Snipes, LCSW
• Ryan S. Snitowsky, M.D.
• Jessica Sobieray, MS, CCC-SLP
• Soft Landing Interventins
• Gokul Nivas Solai, M.D.
• Diana Marie Solarski, LSW
• Soleil Eye Care Inc.

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.