Active NPI
Gerda Anna Muyen, LCSW
- Clinical Social Worker
- Lake Worth, FL
National Provider Identifier
1528288032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 5212
- Practice address
- 2840 Sixth Avenue South
The Childrens Place at Home Sale
Lake Worth, FL 33461 - Phone
- (561) 433-0060
- Fax
- (561) 832-4786
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 5212 | FL | Primary |
Addresses
Primary practice location
2840 Sixth Avenue South
The Childrens Place at Home Sale
Lake Worth, FL 33461
Mailing address
5071 Monterey Lane
Delray Beach, FL 33484
Phone (561) 637-9921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 5212 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528288032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5071 MONTEREY LANE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33484",
"telephone_number": "561-637-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 SIXTH AVENUE SOUTH",
"address_2": "THE CHILDRENS PLACE AT HOME SALE",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33461",
"telephone_number": "561-433-0060",
"fax_number": "561-832-4786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUYEN",
"first_name": "GERDA",
"middle_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 5212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.