MEDICARE: LORENA MUNOZ 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	225400000X	Rehabilitation Practitioner
2	104100000X	Social Worker	7822-C	NV
3	1041C0700X	Clinical Social Worker	7822-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811299597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORENA MUNOZ LCSW

Provider Business Mailing Address
First Line	:	6255 W SUNSET BLVD FL 21
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7422
Country	:	US
Telephone Number	:	323-860-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 S MARYLAND PKWY STE 218
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2424
Country	:	US
Telephone Number	:	702-862-8075
Fax Number	:

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

Provider Enumeration Date	:	12/01/2010
Last Update Date	:	02/19/2026

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