Active NPI
Lisa Ann Snyder, LCSW
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1255710299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12739
- Practice address
- 10000 Bay Pines Blvd BLDG 102 Room D185
Bay Pines Vahcs (116D)
St Petersburg, FL 33744 - Phone
- (727) 398-6661
- Fax
- (727) 398-9509
- NPI assigned
- May 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12739 | FL | Primary |
Addresses
Primary practice location
10000 Bay Pines Blvd BLDG 102 Room D185
Bay Pines Vahcs (116D)
St Petersburg, FL 33744
Mailing address
PO Box 5005 10000 Bay Pines Blvd
Bay Pines Vahcs (116D)
Bay Pines, FL 33744
Phone (727) 398-6661
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12739 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1255710299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5005 10000 BAY PINES BLVD",
"address_2": "BAY PINES VAHCS (116D)",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33744",
"telephone_number": "727-398-6661",
"fax_number": "727-398-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BAY PINES BLVD BLDG 102 ROOM D185",
"address_2": "BAY PINES VAHCS (116D)",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33744",
"telephone_number": "727-398-6661",
"fax_number": "727-398-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "12739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.