Fern L Snogren, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L5191 Issued in OR

Practice address

629 Altamont St
Ashland, OR 97520-0157

Phone

(541) 482-3328

Fax

(541) 982-2265

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• KGS LCSW

  • Clinical Social Worker
  • Ashland, OR
  • NPI 1366974347
  NPD (past)
• Larkspur Counseling LLC

  • Professional Counselor
  • Ashland, OR
  • NPI 1245737956

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1609004522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975408519",
            "telephone_number": "541-631-5044",
            "fax_number": "541-631-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 ALTAMONT ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975200157",
            "telephone_number": "541-482-3328",
            "fax_number": "541-982-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOGREN",
        "first_name": "FERN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5191",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "UNLICENSED",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "45-4333362",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas C Smith, PHD
• Kathryn Diane Smith, LCSW
• Lauren Marie Smith
• Margaret K Smith, RN
• Sherice Snee, LMT
• Daniel Thomas Snyder
• Eric Clayton Snyder, PHARM.D
• Lenn Marc Snyder, LCSW
• Richard Drew Snyder, MS
• Jessica Solvejg Soine, LMT, NTP

• Clinical Social Worker in Ashland, OR
• Providers in Ashland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.