Jacqueline Munoz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58120

Practice address

10851 Crescent Moon Dr
Houston, TX 77064-4020

Phone

(732) 797-9387

NPI assigned

Aug 16, 2021

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 AZ

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Paramount Behavioral Health Services PLLCGroup PAC ID 4880957463, 11 clinicians

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 and National Provider Directory roles.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  AZ

  Medicare reassignment Care Compare group NPD
• Paramount Behavioral Health Services PLLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1366941361

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Warriors Code Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1215506282

  Single Specialty

  NPD

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1669147294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 RAVENNA LANDING LOOP",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 CRESCENT MOON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770644020",
            "telephone_number": "732-797-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "58120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos E Munoz, MD
• Cesar Munoz, PHARMD.
• Clara Alicia Munoz, O.D.
• David Munoz, MD
• Flor de Maria Munoz, MD
• Jessian Louis Munoz, M.D., PH.D.
• Josue Omar Munoz, PMHNP-BC, FNP-C
• Judith Amalia Munoz, MD
• Lauro Munoz
• Luis Munoz, M.D.

• Clinical Social Worker in Houston, TX
• Providers in Houston, 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 16, 2021; 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.