Trishanne Fenty-Munro, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34153 Issued in CA

Practice address

4060 Watson Plaza Dr
Lakewood, CA 90712-4033

Phone

(626) 712-6793

NPI assigned

Dec 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Trishanne Mendez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1760728364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 WATSON PLAZA DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124033",
            "telephone_number": "626-712-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 WATSON PLAZA DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124033",
            "telephone_number": "626-712-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTY-MUNRO",
        "first_name": "TRISHANNE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "34153",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "34153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHANNE",
            "last_name": "MENDEZ",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Khaled Fakoor, PHARM.D/R.PH.
• Suzanne Mary Falkenburg, R.D.
• Family Intervention Center & Services
• Basem R. Farag, M.D
• Feng Liu DDS, Inc
• Michael Ferguson
• Aurea Fernandez
• Martha Fernandez
• Antonio Charles Fidler-Woodard
• Marvin Fields, M.D.

• Clinical Social Worker in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.