Gordon Lance Munn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22687 Issued in TX

Practice address

675 Town Square Blvd
Suite 200, Building 1a
Garland, TX 75040

Phone

(214) 804-9262

Fax

(972) 495-1863

NPI assigned

Jul 26, 2005

Reactivated

Mar 24, 2006

Last updated

Jun 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Titanium Counseling PLLC

  • Clinical Social Worker
  • Garland, TX
  • NPI 1740646926
  Medicare reassignment NPD Authorized official
• Linda S. O'Toole, P.a.

  • Professional Counselor
  • Garland, TX
  • NPI 1144454844
  NPD (past)
• Marci Holloway Consulting, Inc.

  • Community/Behavioral Health Agency
  • Garland, TX
  • NPI 1285872721
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1417957192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD.",
            "address_2": "SUITE 200, BUILDING 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75040",
            "telephone_number": "214-804-9262",
            "fax_number": "972-495-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD",
            "address_2": "SUITE 200, BUILDING 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75040",
            "telephone_number": "214-804-9262",
            "fax_number": "972-495-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNN",
        "first_name": "GORDON",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2014-06-24",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "22687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064284501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caren Munai, DIRECTOR
• Moniza Munawar
• Hatiruzezi Munetsi, ATR-P, LPC-ASSOCIATE
• David Ngugi Mungai, RN
• Daniel Thomas Munier, D.C.
• Bianca Munoz, PA-C
• Melissa Ann Munoz
• Adam Murdock, MD
• Jack Murphy, LPC
• Murray R Ray DDS Inc

• Clinical Social Worker in Garland, TX
• Providers in Garland, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.