Provider Demographics
NPI:1154531598
Name:MUNNS, KATHERINE PAIGE (LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:PAIGE
Last Name:MUNNS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 S ELM ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-1370
Mailing Address - Country:US
Mailing Address - Phone:336-389-1413
Mailing Address - Fax:336-389-1416
Practice Address - Street 1:620 S ELM ST
Practice Address - Street 2:SUITE 312
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-1370
Practice Address - Country:US
Practice Address - Phone:336-389-1413
Practice Address - Fax:336-389-1416
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC005648104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker