Provider Demographics
NPI:1013018316
Name:NUNEZ, JOE (LMSW)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 457 BOX 256
Mailing Address - Street 2:
Mailing Address - City:SCHWEINFURT
Mailing Address - State:APO AE
Mailing Address - Zip Code:09033
Mailing Address - Country:DE
Mailing Address - Phone:490-176-6788
Mailing Address - Fax:
Practice Address - Street 1:UNIT26610
Practice Address - Street 2:
Practice Address - City:SCHWEINFURT
Practice Address - State:APO AE
Practice Address - Zip Code:09036
Practice Address - Country:DE
Practice Address - Phone:490972-196-6231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX236841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148004801Medicaid
TX148004801Medicaid
TXP44388Medicare UPIN