Provider Demographics
NPI:1538222559
Name:SPENCER-SNYDER, HELEN H (LCSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:H
Last Name:SPENCER-SNYDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 GLENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1929
Mailing Address - Country:US
Mailing Address - Phone:781-526-1072
Mailing Address - Fax:
Practice Address - Street 1:38 MEADOWLAND PKWY
Practice Address - Street 2:MEADOWLANDS CENTER FOR COUNSELING
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094
Practice Address - Country:US
Practice Address - Phone:781-526-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054233001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP07242OtherBCBSM
MA9305164525200Medicare ID - Type Unspecified