Healthcare Provider Details

I. General information

NPI: 1073272415
Provider Name (Legal Business Name): SHERRI A. SNIDER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 OAK HILL DR
ARCADIA MO
63621-9131
US

IV. Provider business mailing address

110 OAK HILL DR
ARCADIA MO
63621-9131
US

V. Phone/Fax

Practice location:
  • Phone: 573-747-5751
  • Fax:
Mailing address:
  • Phone: 573-747-5751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4939
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: