Eunice Munn, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Middlebury, IN
NPI 1629136536 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629136536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34003511A (IN)
- Practice address
- 106 East Berry Street
Middlebury, IN 46540 - Phone
- (574) 825-7662
- Fax
- (574) 825-3254
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003511A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald L Munn | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003511A | IN | Yes |
Addresses
Primary practice location
106 East Berry Street
Middlebury, IN 46540
Mailing address
PO Box 63
Middlebury, IN 46540-0063
Phone (574) 825-7662
Other providers in Middlebury, IN
- Middlebury Community Schools
- Middlebury Family Physicians, Inc
- Middlebury Urgent Care &Occmed, P.C.
- Cole Miller
- Norman Miller
- New Outlook Home Care of Northern Indiana
- Orthopedic and Sports Medicine Center of Northern Indiana, Inc.
- Neelamkumar V Patel
- Laura S. Pettifor
- Playful Healing, Inc.
All providers in Middlebury, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.