Provider Demographics
NPI:1215374111
Name:SNYDER, KRISTIN LEIGH (MSW AND LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:LEIGH
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MSW AND LCSW
Other - Prefix:MISS
Other - First Name:KRISTIN
Other - Middle Name:LEIGH
Other - Last Name:BORYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:(NOTE- MAIDEN NAME)
Mailing Address - Street 1:77 FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-2714
Mailing Address - Country:US
Mailing Address - Phone:908-307-0697
Mailing Address - Fax:
Practice Address - Street 1:18 NORTON RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1704
Practice Address - Country:US
Practice Address - Phone:732-613-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO54974001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC05497400OtherLICENSED CLINICIAL SOCIAL WORKER