Organization Active NPI

Snow Clinical & Educational Services, LLC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1982085411
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SNOW CLINICAL & EDUCATIONAL SERVICES, LLC
Practice address
3811 Canterbury Rd
Baltimore, MD 21218-2340
Phone
(410) 889-9404
Fax
(410) 889-3616
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Dr. Robert Snow, PH.D., LCSWC
Title
Member
Phone
(410) 889-9404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3811 Canterbury Rd
Baltimore, MD 21218-2340

Mailing address

3811 Canterbury Rd
Baltimore, MD 21218-2340
Phone (410) 889-9404

Other identifiers 1

IdentifierTypeStateIssuer
405839900MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Snow Clinical and Educational Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3811 Canterbury Rd
Baltimore, MD 21218
Phone (410) 889-9404

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1982085411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 CANTERBURY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182340",
            "telephone_number": "410-889-9404",
            "fax_number": "410-889-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 CANTERBURY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182340",
            "telephone_number": "410-889-9404",
            "fax_number": "410-889-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW CLINICAL & EDUCATIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-889-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSWC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405839900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.