Individual provider Active NPI

Yvonne E Munoz, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1326537150
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2535 Camino del Rio S
Ste 220
San Diego, CA 92108-3756
Phone
(530) 715-8751
Fax
(858) 777-9676
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW82211 CA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2535 Camino del Rio S
Ste 220
San Diego, CA 92108-3756

Mailing address

2535 Camino del Rio S
Ste 220
San Diego, CA 92108-3756
Phone (619) 991-7400

Other practice location 1

630 Bay Blvd Ste 101
Chula Vista, CA 91910-5262
Phone (619) 420-6725

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
I20180721000085 CA Practitioner - Clinical Social Worker 9739436700 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2535 Camino del Rio S
Suite 220
San Diego, CA 92108-3756
Phone (530) 715-8751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW82211CAMDClinical Social Worker
82211CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ebb and Flow Marriage and Family Therapist, Inc. Single Specialty CurrentSince Oct 5, 2021 Accepting new patients
Yvonne E Munoz LCSW Clinical CurrentSince Apr 26, 2020 Accepting new patients

Locations

127 E Lexington Ave
El Cajon, CA 92020
Phone (619) 573-0682

2535 Camino del Rio S
Ste 220
San Diego, CA 92108
Phone (619) 678-2014

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1326537150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S",
            "address_2": "STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083756",
            "telephone_number": "619-991-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S",
            "address_2": "STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083756",
            "telephone_number": "530-715-8751",
            "fax_number": "858-777-9676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Bay Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919105262",
            "country_code": "US",
            "telephone_number": "619-420-6725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "YVONNE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW82211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.