Provider Demographics
NPI:1700017373
Name:SNIPES, NINA KIMBERLY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NINA
Middle Name:KIMBERLY
Last Name:SNIPES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:K
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:137 MAGENTA ROSE DRIVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610
Mailing Address - Country:US
Mailing Address - Phone:702-274-2759
Mailing Address - Fax:
Practice Address - Street 1:4485 S BUFFALO DR. #E UNITED CITIZENS FOUNDATION DR. #E
Practice Address - Street 2:4485 S BUFFALO DR. #E
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-1534
Practice Address - Country:US
Practice Address - Phone:702-888-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5770-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical