Active NPI
Trethany Jean Snider, LCSW
- Clinical Social Worker
- Panama City, FL
National Provider Identifier
1922598150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15713
- Practice address
- 525 E 15TH St
Panama City, FL 32405-5412 - Phone
- (850) 522-4485
- Fax
- (850) 522-4471
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15713 | FL | Primary |
Addresses
Primary practice location
525 E 15TH St
Panama City, FL 32405-5412
Mailing address
525 E 15TH St
Panama City, FL 32405-5412
Phone (850) 522-4485
Other practice location 1
2615 W 23rd St
Panama City, FL 32405-2339
Phone (850) 331-0134
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.thelegacyhouse.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Clinical | 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": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589587200000",
"number": "1922598150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055412",
"telephone_number": "850-522-4485",
"fax_number": "850-522-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055412",
"telephone_number": "850-522-4485",
"fax_number": "850-522-4471"
}
],
"practiceLocations": [
{
"address_1": "2615 W 23rd St",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324052339",
"country_code": "US",
"telephone_number": "850-331-0134",
"fax_number": "850-306-6721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNIDER",
"first_name": "TRETHANY",
"middle_name": "JEAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2020-05-16",
"certification_date": "2020-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15713",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.thelegacyhouse.com",
"affiliation": "N",
"address_1": "2615 W 23rd St",
"city": "Panama City",
"state": "FL",
"country_code": "US",
"postal_code": "324052339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.