Individual provider Active NPI

Aleesia Funke, LMSW

  • Social Worker
  • Boise, ID
National Provider Identifier
1083237473
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-39609 Issued in ID
Practice address
1317 W Jefferson St
Boise, ID 83702-5320
Phone
(208) 615-3538
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X LMSW-39609 ID Primary

Addresses

Primary practice location

1317 W Jefferson St
Boise, ID 83702-5320

Mailing address

1416 Washington St
Meridian, ID 83642-1948
Phone (208) 949-3995

Other practice location 1

1416 Washington St
Meridian, ID 83642-1948
Phone (208) 949-3995

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-39609IDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1083237473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 WASHINGTON ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421948",
            "telephone_number": "208-949-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025320",
            "telephone_number": "208-615-3538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 Washington St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421948",
            "country_code": "US",
            "telephone_number": "208-949-3995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNKE",
        "first_name": "ALEESIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-39609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.