Individual provider Active NPI

Lori Marie Snyder, LCSW

  • Clinical Social Worker
  • Ballwin, MO
National Provider Identifier
1104045327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005178 Issued in MO
Practice address
13545 Barrett Parkway Dr
Suite 150
Ballwin, MO 63021-3822
Phone
(314) 984-0901
Fax
(314) 984-0006
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005178 MO Primary

Addresses

Primary practice location

13545 Barrett Parkway Dr
Suite 150
Ballwin, MO 63021-3822

Mailing address

13545 Barrett Parkway Dr
Suite 150
Ballwin, MO 63021-3822
Phone (314) 984-0901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005178MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Counselors of West County Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104045327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13545 BARRETT PARKWAY DR",
            "address_2": "SUITE 150",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213822",
            "telephone_number": "314-984-0901",
            "fax_number": "314-984-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13545 BARRETT PARKWAY DR",
            "address_2": "SUITE 150",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213822",
            "telephone_number": "314-984-0901",
            "fax_number": "314-984-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "LORI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.