Provider Demographics
NPI:1588923288
Name:MUNOZ, PAMELA PISCIOTTA (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:PISCIOTTA
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2348
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28512-2348
Mailing Address - Country:US
Mailing Address - Phone:252-622-9310
Mailing Address - Fax:252-222-3100
Practice Address - Street 1:1104 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4144
Practice Address - Country:US
Practice Address - Phone:252-622-9310
Practice Address - Fax:252-222-3100
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0048961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical