Individual provider Active NPI

Debra Dianca Ingle-Munoz, LCSW

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1760789010
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34692 Issued in TX
Practice address
Wbamc, 5005 N. Piedras
El Paso, TX 79920
Phone
(915) 742-8233
Fax
(915) 742-4891
NPI assigned
Feb 23, 2011
Reactivated
Oct 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 34692 TX Primary

Addresses

Primary practice location

Wbamc, 5005 N. Piedras
El Paso, TX 79920

Mailing address

Wbamc, 5005 N. Piedras
El Paso, TX 79920
Phone (915) 742-8233

Other identifiers 1

IdentifierTypeStateIssuer
1649345869MedicaidTX

Other names 1

  • Miss Debra Dianca Ingle Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34692TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1760789010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WBAMC, 5005 N. PIEDRAS",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79920",
            "telephone_number": "915-742-8233",
            "fax_number": "915-742-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WBAMC, 5005 N. PIEDRAS",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79920",
            "telephone_number": "915-742-8233",
            "fax_number": "915-742-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE-MUNOZ",
        "first_name": "DEBRA",
        "middle_name": "DIANCA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2019-10-18",
        "deactivation_date": "2018-01-30",
        "reactivation_date": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649345869",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "INGLE",
            "middle_name": "DIANCA",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.