Organization Active NPI

Nicole Munoz, LCSW-C, LLC

  • Community/Behavioral Health Agency
  • Towson, MD
National Provider Identifier
1225337256
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11819 Issued in MD
Legal business name
NICOLE MUNOZ, LCSW-C, LLC
Practice address
744 Dulaney Valley Rd
Suite 2
Towson, MD 21204-5132
Phone
(410) 494-6668
Fax
(443) 403-2566
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Ms. Nicole Munoz, LCSW-CNPI 1740329010
Title
Psychotherapist, Business Owner
Phone
(410) 494-6668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11819 MD Primary

Addresses

Primary practice location

744 Dulaney Valley Rd
Suite 2
Towson, MD 21204-5132

Mailing address

744 Dulaney Valley Rd
Suite 2
Towson, MD 21204-5132
Phone (410) 494-6668

Other identifiers 1

IdentifierTypeStateIssuer
401199600MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1225337256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 DULANEY VALLEY RD",
            "address_2": "SUITE 2",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045132",
            "telephone_number": "410-494-6668",
            "fax_number": "443-403-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 DULANEY VALLEY RD",
            "address_2": "SUITE 2",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045132",
            "telephone_number": "410-494-6668",
            "fax_number": "443-403-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE MUNOZ, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST, BUSINESS OWNER",
        "authorized_official_telephone_number": "410-494-6668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "11819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401199600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.