ROBERTA LYNN SNOW LCSW CCM NPI 1215189980

NPI Information

  • NPI: 1215189980
  • Provider Name: ROBERTA LYNN SNOW, LCSW, CCM
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4800 N MAYFAIR DR
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 702-1553

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NPI Details

Roberta Lynn Snow, LCSW, CCM is a social worker in Oklahoma City, OK with 46 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Roberta Lynn Snow, LCSW, CCM NPI is 1215189980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1979

The provider's business location address is:

4800 N MAYFAIR DR
OKLAHOMA CITY, OK
ZIP 73112-209
Phone: (405) 702-1553

The NPI 1215189980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/14/2008 and was last updated on 4/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical1539OKLAHOMANo
2104100000XSocial Worker1539OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OKA103001MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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