Individual provider Active NPI

Tamra Snook, LCSW

  • Clinical Social Worker
  • Santa Rosa Beach, FL
National Provider Identifier
1215485230
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW-13894 Issued in FL
Practice address
156 N County Highway 393 Unit 1
Santa Rosa Beach, FL 32459
Phone
(407) 955-7174
Fax
(850) 660-6757
NPI assigned
Sep 19, 2016
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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 SW-13894 FL Primary

Addresses

Primary practice location

156 N County Highway 393 Unit 1
Santa Rosa Beach, FL 32459

Mailing address

PO Box 2422
Santa Rosa Beach, FL 32459-2422
Phone (407) 955-7174

Other practice location 1

978 Douglas Ave Ste 100
Altamonte Springs, FL 32714-5205
Phone (407) 955-7174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161130002514 FL Practitioner - Clinical Social Worker 1557641974 Practice locations: Miramar Beach, FL
I20240702001381 TN Practitioner - Clinical Social Worker 1557641974 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Grand Blvd
Unit 206
Miramar Beach, FL 32550-1897
Phone (850) 225-4430

9111 Cross Park Dr
Suite D210
Knoxville, TN 37923-4589
Phone (850) 225-4430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW-13894FLMDClinical Social Worker
8951TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Chellew Physical Therapy, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1215485230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2422",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592422",
            "telephone_number": "407-955-7174",
            "fax_number": "850-660-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N COUNTY HIGHWAY 393 UNIT 1",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "407-955-7174",
            "fax_number": "850-660-6757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "978 Douglas Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327145205",
            "country_code": "US",
            "telephone_number": "407-955-7174",
            "fax_number": "407-951-8663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "TAMRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW-13894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.