=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386229599
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LORITA SNOWDEN LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2021
-----------------------------------------------------
Last Update Date | 03/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 103 COMMONWEALTH DR
-----------------------------------------------------
City | MOUNT STERLING
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40353-9644
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-498-7716
-----------------------------------------------------
Fax | 859-498-0044
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 236 W MAIN ST
-----------------------------------------------------
City | MOUNT STERLING
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40353-1348
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-404-7686
-----------------------------------------------------
Fax | 859-498-8160
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------