Provider Demographics
NPI:1346393352
Name:SNOWDEN, RALLIE GILCHRIST (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RALLIE
Middle Name:GILCHRIST
Last Name:SNOWDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RALLIE
Other - Middle Name:GILCHRIST
Other - Last Name:NEPVEUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW -C
Mailing Address - Street 1:635 FOREST GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450
Mailing Address - Country:US
Mailing Address - Phone:301-437-5689
Mailing Address - Fax:410-799-5576
Practice Address - Street 1:8182 LARK BROWN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6428
Practice Address - Country:US
Practice Address - Phone:301-437-5689
Practice Address - Fax:410-799-5576
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129151041C0700X
VA09040084361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical