Individual provider Active NPI

Priscilla K Munoz

  • Social Worker
  • Henderson, NV
National Provider Identifier
1114740024
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11320-M Issued in NV
Practice address
600 W Sunset Rd Ste 102
Henderson, NV 89011-4112
Phone
(725) 241-5252
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11320-M NV Primary

Addresses

Primary practice location

600 W Sunset Rd Ste 102
Henderson, NV 89011-4112

Mailing address

4029 Red Pony CT
Las Vegas, NV 89110-3287
Phone (702) 501-0359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216002089 NV Practitioner - Clinical Social Worker 0547796401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Clinic LLCGroup PAC ID 5395143341, 7 clinicians

Practice addresses (Care Compare)

600 W Sunset Rd
Suite 102
Henderson, NV 89011-4112
Phone (725) 241-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11320-MNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Clinic LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

600 W Sunset Rd
Ste 102
Henderson, NV 89011
Phone (725) 241-5252

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1114740024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 RED PONY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103287",
            "telephone_number": "702-501-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SUNSET RD STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114112",
            "telephone_number": "725-241-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "PRISCILLA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "11320-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.