Provider Demographics
NPI:1912336819
Name:SNIECINSKI, ANGELA (LMSW, CADC, QMHP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:SNIECINSKI
Suffix:
Gender:F
Credentials:LMSW, CADC, QMHP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:ZANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW, LMSW, CADC
Mailing Address - Street 1:279 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-3364
Mailing Address - Country:US
Mailing Address - Phone:248-745-4900
Mailing Address - Fax:248-994-8005
Practice Address - Street 1:279 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-3364
Practice Address - Country:US
Practice Address - Phone:248-745-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2-01355101YA0400X
MI6801104630104100000X, 1041C0700X
MI175T00000X
MI68011106661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No175T00000XOther Service ProvidersPeer Specialist