MEDICARE: FAITH C LAMUNYON LICSW

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	ISW02065	RI

General Provider Information

NPI Number	:	1316067127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH C LAMUNYON LICSW

Provider Business Mailing Address
First Line	:	1051 TEN ROD RD UNIT 5A
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4163
Country	:	US
Telephone Number	:	401-552-5880
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 TEN ROD RD STE E101
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4158
Country	:	US
Telephone Number	:	401-294-6900
Fax Number	:

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	01/13/2026

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