Dominique N Munerlyn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61417 Issued in TX

Practice address

9659 N Sam Houston Pkwy E Ste 150
Humble, TX 77396-1290

Phone

(713) 398-1437

NPI assigned

Aug 15, 2024

Last updated

Aug 15, 2024By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1558193953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9659 N SAM HOUSTON PKWY E STE 150",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961290",
            "telephone_number": "713-398-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9659 N SAM HOUSTON PKWY E STE 150",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961290",
            "telephone_number": "713-398-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNERLYN",
        "first_name": "DOMINIQUE",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakleh Ibrahim Mseeh
• Yamileidis Mercedes Muguercia, RN
• Aliyah Zaire Muhammad
• Kalila Muhammad
• Daniel J Mumbower, PA-C
• Veronica Muniz, MS, RD, LD, IBCLC
• Munoz Pediatrics (Dba) Weekare Pediatrics (Wee Kare Pediatrics)
• Angel Munoz, M.D.
• Geneva Ashleymarie Munoz
• Joe Munoz, RPH

• Clinical Social Worker in Humble, TX
• Providers in Humble, 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 Aug 15, 2024; 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.