Patricia Joan Funck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10149 Issued in TX

Practice address

7212 Joliet Ave
Suite 10
Lubbock, TX 79423-1137

Phone

(806) 791-2829

Fax

(806) 791-3744

NPI assigned

Aug 14, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Patricia Joan Funck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1053865493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 JOLIET AVE STE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231123",
            "telephone_number": "806-791-2829",
            "fax_number": "806-791-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 JOLIET AVE",
            "address_2": "SUITE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231137",
            "telephone_number": "806-791-2829",
            "fax_number": "806-791-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNCK",
        "first_name": "PATRICIA",
        "middle_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-14",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "FUNCK",
            "middle_name": "JOAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Raymond Fuller, CRNA
• Christopher G. Fuller, M.D.
• Courtney Carole Fuller, BSN, RN
• Seunghee Oh Fuller, MD
• Jordan Fultz, PT
• David L Fung, RPH
• Cindy Furlow, CNA
• Lexie Scarborough Futrell, DNP-A, CRNA
• G Wonette Owen Or Aly Gwinn
• G. Baird Helfrich, M.D., P.a.

• Clinical Social Worker in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.