Active NPI
Heather Snow, LCSW
- Clinical Social Worker
- Crescent City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 86018
- Practice address
- 550 E Washington Blvd Ste 100
Crescent City, CA 95531-8161 - Phone
- (707) 826-8633
- NPI assigned
- Mar 22, 2011
- Last updated
- Jan 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 077442 | NY | |
| Clinical Social Worker | 1041C0700X | 079624 | NY | |
| Clinical Social Worker | 1041C0700X | 86018 | CA | Primary |
Addresses
Primary practice location
550 E Washington Blvd Ste 100
Crescent City, CA 95531-8161
Mailing address
PO Box 275
Smith River, CA 95567-0275
Other practice location 1
1275 8th St
Arcata, CA 95521-5770
Phone (707) 826-8633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- New York University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 E Washington Blvd
Crescent City, CA 95531-8160
Phone (707) 465-6925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079624 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients |
Locations
1275 8th St
Arcata, CA 95521
550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-6925
550 E Washington Blvd
Ste 100
Crescent City, CA 95531
Phone (707) 465-6925
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Perinatal Services of Northcountry Clinic | Federally qualified health center | Corporate Director | Jul 26, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Perinatal Services of NorthCountry Clinic
- Federally Qualified Health Center (FQHC)
- Arcata, CA
- NPI 1922318047
Corporate Director
Organizations & group practices 3
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.
-
dba Del Norte Community Health Center
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1497840656
-
dba Del Norte Mobile Health Services
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1053151811
-
dba Open Door Downtown
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1831713452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1548569130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 275",
"city": "SMITH RIVER",
"state": "CA",
"postal_code": "955670275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E WASHINGTON BLVD STE 100",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955318161",
"telephone_number": "707-826-8633"
}
],
"practiceLocations": [
{
"address_1": "1275 8th St",
"address_purpose": "LOCATION",
"city": "Arcata",
"state": "CA",
"postal_code": "955215770",
"country_code": "US",
"telephone_number": "707-826-8633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNOW",
"first_name": "HEATHER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "077442",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079624",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "86018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crescent City, CA
- Claudia C Smith, LCSW
- Crystal Dawn Smith
- Gregg Lewis Smith, MD
- William Patrick Smith, CRNA
- Mara E Snider, MA
- Soft Tissue and Myofascial Treatment Inc (Myofascial Treatment Center)
- Sound Inpatient Physicians Medical Group, Inc
- Shelley Allison Sovola, L.AC.,OMD
- Saundra Sue Squires, LMFT
- SRS-Crescent City, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.