Individual provider Active NPI

Jeanne Marie Snarich, LCSW

  • Clinical Social Worker
  • Batavia, IL
National Provider Identifier
1811047806
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010446 Issued in IL
Practice address
218 Elm St
Batavia, IL 60510-2566
Phone
(847) 306-0715
Fax
(630) 761-8339
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.010446 IL Primary
School Social Worker 1041S0200X 2140953 IL

Addresses

Primary practice location

218 Elm St
Batavia, IL 60510-2566

Mailing address

218 Elm St
Batavia, IL 60510-2566
Phone (847) 306-0715

Other identifiers 4

IdentifierTypeStateIssuer
0004532313OtherILBLUE CROSS BLUE SHIELD IL
2268567OtherILCIGNA BEHAVIORAL HEALTH
782363000OtherILMAGELLAN HEALTH SERVICE
9350461OtherILPRIVATE HEALTHCARE SYSTEM

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

LicenseStateTypeSpecialty
149.010446ILMDClinical Social Worker
2140953ILMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1811047806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ELM ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102566",
            "telephone_number": "847-306-0715",
            "fax_number": "630-761-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ELM ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102566",
            "telephone_number": "847-306-0715",
            "fax_number": "630-761-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNARICH",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010446",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2140953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "0004532313",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2268567",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICE",
            "identifier": "782363000",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9350461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.