Provider Demographics
NPI:1639346786
Name:SNIDER, ANNETTE KAY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:KAY
Last Name:SNIDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 DRYER
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9299
Mailing Address - Country:US
Mailing Address - Phone:501-733-6047
Mailing Address - Fax:
Practice Address - Street 1:204 N FRONT ST STE A
Practice Address - Street 2:
Practice Address - City:DARDANELLE
Practice Address - State:AR
Practice Address - Zip Code:72834-3843
Practice Address - Country:US
Practice Address - Phone:479-355-1606
Practice Address - Fax:901-755-8981
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8771041C0700X
AR2277-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical