Individual provider Active NPI

Catharine Munguia, LCSW

  • Clinical Social Worker
  • Nacogdoches, TX
National Provider Identifier
1689386963
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64857 Issued in TX
Practice address
1808 South St
Nacogdoches, TX 75964-6120
Phone
(936) 305-3070
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64857 TX Primary

Addresses

Primary practice location

1808 South St
Nacogdoches, TX 75964-6120

Mailing address

925 Millard Dr
Nacogdoches, TX 75965-2628
Phone (936) 615-3366

Other names 1

  • Catie Munguia Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212004266 TX Practitioner - Clinical Social Worker 3274069299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Again Counseling and Wellness, LLC CurrentSince Oct 10, 2024 Accepting new patients

Locations

1808 South St
Nacogdoches, TX 75964
Phone (936) 305-3070

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1689386963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MILLARD DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652628",
            "telephone_number": "936-615-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SOUTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759646120",
            "telephone_number": "936-305-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGUIA",
        "first_name": "CATHARINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATIE",
            "last_name": "MUNGUIA",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.