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NPI Code Detail

MEDICARE: LORELEI MUNOZ LMSW

MEDICARE: LORELEI MUNOZ LMSW
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
1101YA0400XAddiction (Substance Use Disorder) Counselor8861532ID
21041C0700XClinical Social Worker8861532ID

General Provider Information

NPI Number : 1467045583
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORELEI MUNOZ LMSW
Provider Business Mailing Address
First Line : 709 DEARBORN ST
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4116
Country : US
Telephone Number : 208-376-7083
Fax Number :
Provider Business Practice Location Address
First Line : 709 DEARBORN ST
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4116
Country : US
Telephone Number : 208-957-8193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2021
Last Update Date : 03/04/2026

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Directions to “ LORELEI MUNOZ LMSW” Practice Location

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