Active NPI
Judy May Funk, LCSW
- Clinical Social Worker
- Overland Park, KS
National Provider Identifier
1023334190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2009037697
- Practice address
- 10042 Knox Dr
Overland Park, KS 66212-5339 - Phone
- (913) 894-2734
- Fax
- (913) 894-2734
- NPI assigned
- Apr 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2009037697 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 1886 | KS |
Addresses
Primary practice location
10042 Knox Dr
Overland Park, KS 66212-5339
Mailing address
10042 Knox Dr
Overland Park, KS 66212-5339
Phone (913) 980-4975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009037697 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BPH LLC | Past | Accepting new patients | |
| Kansas City University | Past | Accepting new patients | |
| Midwest Psychiatric Consultants, P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Kansas City, MO
- NPI 1770989303
-
- Dental Clinic/Center
- Joplin, MO
- NPI 1295773638
-
- Specialist
- Lees Summit, MO
- NPI 1265472088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1023334190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10042 KNOX DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125339",
"telephone_number": "913-980-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10042 KNOX DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125339",
"telephone_number": "913-894-2734",
"fax_number": "913-894-2734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "JUDY",
"middle_name": "MAY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2009037697",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "1886",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.