Provider Demographics
NPI:1154338903
Name:SNEDDEN, KRISTYN STREEVER (LCSW)
Entity type:Individual
Prefix:MS
First Name:KRISTYN
Middle Name:STREEVER
Last Name:SNEDDEN
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 1:166 COMMERCE PKWY UNIT C
Mailing Address - Street 2:
Mailing Address - City:CORNELIA
Mailing Address - State:GA
Mailing Address - Zip Code:30531-5473
Mailing Address - Country:US
Mailing Address - Phone:706-778-0954
Mailing Address - Fax:833-226-0131
Practice Address - Street 1:166 COMMERCE PKWY UNIT C
Practice Address - Street 2:
Practice Address - City:CORNELIA
Practice Address - State:GA
Practice Address - Zip Code:30531-5473
Practice Address - Country:US
Practice Address - Phone:706-778-0954
Practice Address - Fax:833-226-0131
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0012391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA270085726OtherTRICARE-VALUEOPTIONS
GA000858525BMedicaid
GA000858525BMedicaid