Individual provider Active NPI

Laura Funk, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1073397097
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-64462 Issued in MT
Practice address
1930 9TH Ave
Helena, MT 59601-4759
Phone
(406) 457-0000
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-64462 MT Primary

Addresses

Primary practice location

1930 9TH Ave
Helena, MT 59601-4759

Mailing address

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206003917 MT Practitioner - Clinical Social Worker 6709235427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-64462MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pureview Health Center CurrentSince Sep 26, 2023 Accepting new patients
Pureview Health Center Current Accepting new patients
Pureview Health Center CurrentSince Sep 26, 2023 Accepting new patients

Locations

100 Valley Dr
Helena, MT 59601
Phone (406) 324-2500

815 Front St
Helena, MT 59601

1930 9th Ave
Helena, MT 59601
Phone (406) 457-8905

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.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1073397097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-64462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.