MR. GORDON LANCE MUNN (NPI# 1417957192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417957192 |
| Entity Type | Individual |
| Full Name | MR. GORDON LANCE MUNN |
| Credential | LCSW |
| Practice Address |
675 Town Square Blvd Suite 200, Building 1a Garland TX 75040 |
| Mailing Address |
675 Town Square Blvd. Suite 200, Building 1a Garland TX 75040 |
| Practice Telephone | 2148049262 |
| Practice Fax Number | 9724951863 |
| Mailing Telephone | 2148049262 |
| Mailing Fax Number | 9724951863 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2014-06-24 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
22687 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 064284501 | 05 |
| Street Address |
675 TOWN SQUARE BLVD SUITE 200, BUILDING 1A |
| City | GARLAND |
| State | TX |
| Zip Code | 75040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740646926 | Titanium Counseling Pllc | Social Worker | 675 Town Square Blvd, Suite 200, Bldg 1a, Garland, TX 75040-2992 | 2016-01-04 |
| 1437569498 | Timothy Kim Moore | Nutritionist | 675 Town Square Blvd, Suite 200, Garland, TX 75040-2992 | 2014-04-30 |
| 1780973735 | Alicia Harker | Counselor | 675 Town Square Blvd, Building 1a, Suite 200, Garland, TX 75040-2992 | 2011-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938407 | Craig R Baginski, Dds Inc | Dentist | 4433 Naaman Forest Blvd, Garland, TX 75040 | 2018-07-12 |
| 1356838981 | Firewheel Pediatric Dental Specialists Pllc | Dentist | 4880 N President George Bush Hwy Ste 104, Garland, TX 75040 | 2018-04-19 |
| 1801312947 | Etsub Negussie Haileselassie | Radiology | 1702 Arbor Creek Dr., Garland, TX 75040 | 2017-08-21 |
| 1073038089 | Ashakrishna Nair | Nurse Practitioner | 5702 Lavon Drive, Cvs, Garland, TX 75040 | 2017-08-10 |
| 1336672856 | Rosialyllc Dba Garland Adult Care Center | Clinic/Center | 3845 N. Garland Ave, 700b, Garland, TX 75040 | 2017-04-11 |
| 1699211276 | Yishak Yemane Abebu | Non-emergency Medical Transport (VAN) | 1502 Townbluff St., Garland, TX 75040 | 2017-01-06 |
| 1124478375 | Nisha Liz John P.l.l.c | Dentist | 3046 Lavon Drive, Suite 125,127, Garland, TX 75040 | 2016-06-20 |
| 1265893275 | A1 Hospice Care LLC | Hospice Care, Community Based | 317 Still Meadow Drive, Garland, TX 75040 | 2016-03-18 |
| 1922474345 | Wai Mei Lee | Dentist | 1309 Belt Line Rd, Unit A, Garland, TX 75040 | 2015-08-19 |
| 1972990901 | Turnpike Vision, PC | Optometrist | 485 Cedar Sage Space J13, Garland, TX 75040 | 2015-04-16 |
| Find all providers in zip 75040 | ||||
| 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 |
|---|---|---|---|---|
| 1780187609 | Jacqueline Ann Mahoney | Social Worker | 5018 Branch Hollow Dr, Garland, TX 75043-2631 | 2018-03-16 |
| 1144638867 | Jessica Derx LLC | Social Worker | 746 Colonel Dr, Suite II B, Garland, TX 75043-2369 | 2014-07-25 |
| 1770858094 | Ashley Mansfield | Social Worker | 3200 Southern Dr Ste 100, Garland, TX 75043-1549 | 2012-03-20 |
| 1285965996 | Patti Hebert Cryer | Social Worker | 4805 Creekridge Ct, Garland, TX 75043-6521 | 2010-01-19 |
| 1164675500 | Garland's Christian Counseling Center | Social Worker | 3112 N Jupiter Rd Ste 203, Garland, TX 75044-6563 | 2008-10-29 |
| 1205040243 | Raquel Vasquez Mckinney | Social Worker | 2218 Hollow Way, Garland, TX 75041-2188 | 2007-05-09 |
| 1972690352 | Claudia Smith Lamothe | Social Worker | 3106 Prescott Dr, Garland, TX 75041-4524 | 2006-10-06 |
| 1255356929 | Tzivia E Stein | Social Worker | 629 W Centerville Rd, Suite 212, Garland, TX 75041-5460 | 2006-07-13 |
| 1164414553 | Helen R Dilmore Jones | Social Worker | 3960 Broadway Blvd, Garland, TX 75043-2591 | 2005-08-22 |
| 1740646926 | Titanium Counseling Pllc | Social Worker | 675 Town Square Blvd, Suite 200, Bldg 1a, Garland, TX 75040-2992 | 2016-01-04 |
| Find all providers in GARLAND | ||||
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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.