Traci Leann Munden, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

60178 Issued in TX

Practice address

5680 Frisco Square Blvd
Frisco, TX 75034-3300

Phone

(469) 535-8001

NPI assigned

Mar 11, 2017

Last updated

Dec 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1366983207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 BEDFORD LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750773732",
            "telephone_number": "972-746-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 FRISCO SQUARE BLVD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343300",
            "telephone_number": "469-535-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Bedford Ln",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750773732",
            "country_code": "US",
            "telephone_number": "972-746-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDEN",
        "first_name": "TRACI",
        "middle_name": "LEANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-11",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "60178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Arnold Mueller, RN, CPNP
• Waseem M Mughal, DMD
• Nicole Alene Muilenburg, APRN-FNP-BC
• Lasya Mukka
• Cindy Mullinax
• Jose Rafael Muniz, MD
• Munnainathan Medical Group Inc.
• Yvonne Munoz, APRN
• Murad M Jussa MD PA
• Jamahla Murgerson

• Social Worker in Frisco, TX
• Providers in Frisco, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.