Individual provider Active NPI

Yesenia Munoz

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1144606625
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW110846 Issued in CA
Practice address
4444 Calle Real
Santa Barbara, CA 93110-1002
Phone
(805) 681-5190
Fax
(805) 681-5239
NPI assigned
Aug 6, 2015
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X LCSW110846 CA Primary

Addresses

Primary practice location

4444 Calle Real
Santa Barbara, CA 93110-1002

Mailing address

4444 Calle Real
Santa Barbara, CA 93110-1002
Phone (805) 681-5190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240213001612 CA Practitioner - Clinical Social Worker 5890138234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

4444 Calle Real
Santa Barbara, CA 93110-1002
Phone (805) 681-5190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW110846CAMDClinical Social Worker
110846CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Jan 4, 2024 Accepting new patients
Cottage Medical Foundation CurrentSince Feb 22, 2026 Accepting new patients
Santa Barbara County Department of Behavioral Wellness CurrentSince Jan 4, 2024 Accepting new patients
Cottage Clinical Associates PastSince Feb 1, 2023 Accepting new patients

Locations

107 E Micheltorena St
Santa Barbara, CA 93101
Phone (805) 363-0773

2320 Bath St
Ste 307
Santa Barbara, CA 93105
Phone (713) 940-7674

2329 Oak Park Ln
Ste 2
Santa Barbara, CA 93105
Phone (805) 563-7010

315 Camino del Remedio
Ste 258
Santa Barbara, CA 93110
Phone (626) 989-3321

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

Organizations & group practices 5

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1144606625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101002",
            "telephone_number": "805-681-5190",
            "fax_number": "805-681-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101002",
            "telephone_number": "805-681-5190",
            "fax_number": "805-681-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "YESENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW110846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.