Active NPI
Melissa A. Snyder, LCSW
- Clinical Social Worker
- Lewiston, ME
National Provider Identifier
1750518429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC12465
- Practice address
- 290 Pond Rd
Lewiston, ME 04240-3326 - Phone
- (877) 868-5741
- NPI assigned
- Jun 19, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MC11383 | ME | |
| Clinical Social Worker | 1041C0700X | MC11383 | ME | |
| Clinical Social Worker | 1041C0700X | LC12465 | ME | Primary |
Addresses
Primary practice location
290 Pond Rd
Lewiston, ME 04240-3326
Mailing address
PO Box 2453
Lewiston, ME 04241-2453
Phone (877) 838-5741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433835799 | Medicaid | ME |
Other names 1
- Melissa Cyr
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 |
|---|---|---|---|
| MC11383 | ME | MD | Social Worker |
| LC12465 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Seasons, LLC | Social Worker | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1750518429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2453",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042412453",
"telephone_number": "877-838-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 POND RD",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042403326",
"telephone_number": "877-868-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "MELISSA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC11383",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC11383",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC12465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433835799",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "CYR",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.