Kimberly Snapper, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122482 Issued in MA

Practice address

76 Bedford St Ste 25
Lexington, MA 02420-4641

Phone

(201) 906-1199

NPI assigned

Sep 8, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1831704790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81087",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024810001",
            "telephone_number": "201-906-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 25",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204641",
            "telephone_number": "201-906-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNAPPER",
        "first_name": "KIMBERLY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW- SOCIAL WORK LICENSE",
            "identifier": "122482",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Smith, MSW
• Ryan Michael Smith
• Susan Smith
• Sydney A Smith
• Sanford Smoot, MD
• Annabelle Chu Snyder, LICSW
• Jesse Snyder
• Adam Soares, PHARMD, MBA
• Baigalmaa Sodnompil
• Amy Sogoloff

• Clinical Social Worker in Lexington, MA
• Providers in Lexington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.