Provider Demographics
NPI:1629180385
Name:SNOWDON-HIBBS, JAMIE L (MSW LCSW DCSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:SNOWDON-HIBBS
Suffix:
Gender:F
Credentials:MSW LCSW DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WEST MAIN ST
Mailing Address - Street 2:STE 704
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401
Mailing Address - Country:US
Mailing Address - Phone:724-439-9698
Mailing Address - Fax:724-439-9701
Practice Address - Street 1:50 WEST MAIN ST
Practice Address - Street 2:STE 704
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401
Practice Address - Country:US
Practice Address - Phone:724-439-9698
Practice Address - Fax:724-439-9701
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW001079E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker