Lydia Munoz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00446700 Issued in NJ

Practice address

3900 Ventnor Ave
Atlantic City, NJ 08401-5922

Phone

(609) 345-1249

Fax

(609) 345-8533

NPI assigned

Mar 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1780078824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SUMNER ST",
            "address_2": "PO BOX 61",
            "city": "LANDISVILLE",
            "state": "NJ",
            "postal_code": "083261521",
            "telephone_number": "856-697-2967",
            "fax_number": "856-697-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VENTNOR AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015922",
            "telephone_number": "609-345-1249",
            "fax_number": "609-345-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "LYDIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC00446700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00446700",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "44SC00446700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameka L Moore, LSW,MSW
• Jonathan Philip Morden, DO
• Connor Michael Mott, MD
• Eucina Agnes Mounsey
• Mohammad Yaser Mourad, MD
• Peter Muraca
• Georgette Nammour
• Melanie Narbut
• Mariel A Nepa, DO
• Sayedatun Nessa, MD

• Clinical Social Worker in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.