Active NPI
Lisa A. Snyder, LISW
- Clinical Social Worker
- Greenville, SC
National Provider Identifier
1467408278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4965
- Practice address
- 200 Patewood Dr
Suite A200
Greenville, SC 29615-3593 - Phone
- (864) 454-5115
- Fax
- (864) 454-5141
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 4965 | SC | Primary |
Addresses
Primary practice location
200 Patewood Dr
Suite A200
Greenville, SC 29615-3593
Mailing address
7 Independence PT
Suite 140
Greenville, SC 29615-4566
Phone (864) 797-6044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0701 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4965 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Past | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
dba ATI Physical Therapy of Greenville
- Physical Therapist
- Greenville, SC
- NPI 1669457859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1467408278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT",
"address_2": "SUITE 140",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154566",
"telephone_number": "864-797-6044",
"fax_number": "864-797-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR",
"address_2": "SUITE A200",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153593",
"telephone_number": "864-454-5115",
"fax_number": "864-454-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "LISA",
"middle_name": "A.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "4965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QM0701",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.