MEDICARE: LORETTA J. MUNSON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	008330	CT

General Provider Information

NPI Number	:	1184925919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETTA J. MUNSON LCSW

Provider Business Mailing Address
First Line	:	123 MIDDLE ST
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-7404
Country	:	US
Telephone Number	:	860-281-2280
Fax Number	:	860-499-3514

Provider Business Practice Location Address
First Line	:	123 MIDDLE ST
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-7404
Country	:	US
Telephone Number	:	860-281-2280
Fax Number	:	860-499-3514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2010
Last Update Date	:	03/06/2026

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