Lisa Snow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013025364 Issued in MO

Practice address

314 E Promenade St
Mexico, MO 65265-2857

Phone

(573) 975-4301

Fax

(573) 975-4304

NPI assigned

Feb 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lisa J. Snow, LCSW, LLC

  • Clinical Social Worker
  • Mexico, MO
  • NPI 1013381276
  Medicare reassignment Authorized official
• Alicia Reichert Counseling LLC

  • Professional Counselor
  • Mexico, MO
  • NPI 1790598910
  NPD

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1750705638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E PROMENADE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652857",
            "telephone_number": "573-975-4301",
            "fax_number": "573-975-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E PROMENADE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652857",
            "telephone_number": "573-975-4301",
            "fax_number": "573-975-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013025364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Simmons
• Katherine C Sims, LCSW
• Caitlyn Tennile Smith, FNP-C
• Charla Jenea Smith, PT
• Kathaleen M Smith, CERTIFIED DOULA
• Kristen Soehngen, MD
• Kelly Marie Sonwalt, SLP-A
• SSM Audrain Health Care, Inc
• SSM Audrain Health Care, Inc
• SSM Audrain Health Care, Inc.

• Clinical Social Worker in Mexico, MO
• Providers in Mexico, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.