Healthcare Provider Details

I. General information

NPI: 1285882076
Provider Name (Legal Business Name): JOANNA ELIZABETH SNIDER-LIPA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 MILL ST
GRASS VALLEY CA
95945-6712
US

IV. Provider business mailing address

PO BOX 1468
CEDAR RIDGE CA
95924-1468
US

V. Phone/Fax

Practice location:
  • Phone: 530-308-4521
  • Fax:
Mailing address:
  • Phone: 530-308-4521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS22435
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: