Basic Information
| Provider Information | |||||||||
| NPI: | 1497730410 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SNYDER | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | WARFIELD | ||||||||
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| Credential: | RN, LCSW-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1978 | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218021978 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107491015 | ||||||||
| FaxNumber: | 4107490654 | ||||||||
| Practice Location | |||||||||
| Address1: | 12145 ELM ST | ||||||||
| Address2: | |||||||||
| City: | PRINCESS ANNE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218531358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106512204 | ||||||||
| FaxNumber: | 4106510790 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2005 | ||||||||
| LastUpdateDate: | 01/26/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 08025 | MD | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 521860379 | 01 | UNITED BEHAVIORAL HEALTH | OTHER | 457738000 | 01 | MAGELLAN HEALTH | OTHER | 4339768 | 01 | AETNA | OTHER | E1540035 | 01 | CAREFIRST BLUE CHOICE | OTHER | 119591300 | 05 | MD | MEDICAID | 119591300 | 01 | MD PHYSICIANS CARE | OTHER | 174355 | 01 | ANTHEM | OTHER | 2450822 | 01 | MAMSI | OTHER | 054635 | 01 | JHHC | OTHER |