Healthcare Provider Details

I. General information

NPI: 1629222062
Provider Name (Legal Business Name): SHEENA MUNSCH MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11336 JASMINE ST
THORNTON CO
80233-5532
US

IV. Provider business mailing address

105 N COUNTY ROAD 29
LOVELAND CO
80537-9751
US

V. Phone/Fax

Practice location:
  • Phone: 719-313-7383
  • Fax:
Mailing address:
  • Phone: 719-313-7383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW00001503
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9923405
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI.2608123
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: