LARA MUNDEN-JOHNSON (NPI# 1154726024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154726024 |
| Entity Type | Individual |
| Full Name | LARA MUNDEN-JOHNSON |
| Other Name | LARA MUNDEN |
| Credential | LICSW |
| Practice Address |
5301 Tieton Dr Ste C Yakima WA 98908-3479 |
| Mailing Address |
145 S Worthen St Wenatchee WA 98801-3081 |
| Practice Telephone | 5096626761 |
| Practice Fax Number | 5096633182 |
| Mailing Telephone | 5096626761 |
| Mailing Fax Number | 5096633182 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2017-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60332606 | WA | Behavioral Health & Social Service Providers |
| Street Address |
5301 TIETON DR STE C |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266909 | Catholic Charities | Voluntary or Charitable | 5301 Tieton Dr, Suite C, Yakima, WA 98908-3479 | 2005-09-22 |
| 1053912485 | Emilia Gabriela Magana | Counselor | 5301 Tieton Dr, Yakima, WA 98908-3479 | 2020-11-03 |
| 1346789435 | Kenneth Braconnier | Counselor | 5301 Tieton Dr, Suite C, Yakima, WA 98908-3479 | 2017-02-22 |
| 1053859629 | Yesenia Lucia Albarran | Nurse's Aide | 5301 Tieton Dr, Suite C, Yakima, WA 98908-3478 | 2017-02-03 |
| 1609231323 | Crystal M Tyree | Social Worker | 5301 Tieton Dr, Yakima, WA 98908-3479 | 2015-12-22 |
| 1306221379 | Shannen Itterley | Behavioral Analyst | 5301 Tieton Dr, Suite C, C/o Hope Center, Yakima, WA 98908-3479 | 2015-07-20 |
| 1992034805 | Nellie Decker | Social Worker | 5301 Tieton Dr, Yakima, WA 98908-3479 | 2009-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218109 | Christopher Dennis Mallonee | Social Worker | 2119 W Lincoln Ave, Yakima, WA 98902-2414 | 2019-10-29 |
| 1164086328 | Julie K Besel | Social Worker | 6402 Morningside Ct, Yakima, WA 98901-7940 | 2019-04-23 |
| 1841682663 | Melissa Renee Walker | Social Worker | 6901 W Acre Ct, Yakima, WA 98903-9585 | 2015-03-03 |
| 1437426293 | Lisa Anne Matthews | Social Worker | 109 N 78th Ave, Yakima, WA 98908-4133 | 2011-11-22 |
| 1275764078 | Susan Scott Lisee | Social Worker | 791 Old Naches Hwy, Yakima, WA 98908-9036 | 2009-07-28 |
| 1760622856 | Avry Eichwald | Social Worker | 6 S 2nd St Ste 200, Yakima, WA 98901-2629 | 2009-03-02 |
| 1780851097 | James Arthur Renner | Social Worker | 6 South 2nd Street, Suite 1008, Yakima, WA 98901 | 2008-05-15 |
| 1801090741 | Lindsey Vaagen | Social Worker | 402 E Yakima Ave Ste 380, Yakima, WA 98901-5410 | 2007-06-13 |
| 1023226065 | Lisa Herr | Social Worker | 412 S 12th Ave, Yakima, WA 98902-3115 | 2007-05-21 |
| 1821213125 | Judith Velma Casey | Social Worker | 1505 S 12th Ave, Yakima, WA 98902-5813 | 2007-04-13 |
| Find all providers in YAKIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.