Penelope Faith Snow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC12237 Issued in ME

Practice address

5 Fletcher St Ste 202
Kennebunk, ME 04043-6705

Phone

(207) 614-4108

Fax

(207) 517-5305

NPI assigned

Mar 5, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of New England, College of Osteo Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acorn & Oak LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kennebunk, ME
  • NPI 1679172118
  Medicare reassignment NPD Authorized official
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Pediatric Critical Care Medicine Physician
  • Portland, ME
  • NPI 1265536817
  NPD

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1003157884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FLETCHER ST STE 202",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436705",
            "telephone_number": "207-614-4108",
            "fax_number": "207-517-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FLETCHER ST STE 202",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436705",
            "telephone_number": "207-614-4108",
            "fax_number": "207-517-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "PENELOPE",
        "middle_name": "FAITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psnow@acornoakmaine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 Fletcher St Ste 202",
            "city": "Kennebunk",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040436705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dionne Smith
• Eric Richard Smith, P.T
• SMMC Visiting Nurses
• SMMC Visiting Nurses
• Snow Moon Therapy Services LLC
• Southern Maine Gastroenterology, LLC
• Southern Maine Gastroenterology, LLC
• Southern Maine Health Care
• Southern Maine Integrative Health Center, LLC
• Ashley St. Amand, L.AC.

• Clinical Social Worker in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.