Theresa Davidson Snow

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2246 Issued in LA

Practice address

820 Jordan St Ste 510W
Shreveport, LA 71101-4526

Phone

(318) 861-1090

NPI assigned

Sep 17, 2019

Last updated

Nov 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lsuhsc-S School of Allied Health

  dba LSU Health Shreveport - Allied Health Clinics Behavioral Health & Audi

  • Multi-Specialty Clinic/Center
  • Shreveport, LA
  • NPI 1740904291

  Clinical

  NPD
• Kimberly B. McClelland, LCSW

  • Mental Health Counselor
  • Shreveport, LA
  • NPI 1871083485
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1841840311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 510W",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-861-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 510W",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014526",
            "telephone_number": "318-861-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Claiborne Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034204",
            "country_code": "US",
            "telephone_number": "318-813-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "THERESA",
        "middle_name": "DAVIDSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2246",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Andrew Snelling, PHARM.D.
• Snells Limbs & Braces of Shreveport LLC
• Snells Limbs & Braces of Shreveport LLC
• Latonia Denise Snoddy
• Rebecca Snow
• Tiffany Dunkentell Snow
• Tyria Lashay Snow
• Yulonda M Snow
• Kelli S Snyder, DPT, PT
• Social Work Professional Services, LLC

• Social Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.