Shoshana Aliza Funk

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009936 Issued in NC

Practice address

9003 Weston Pkwy
Cary, NC 27513-2201

Phone

(919) 636-8875

NPI assigned

Aug 18, 2015

Last updated

Feb 4, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Durham-Chapel Hill Jewish FederationGroup PAC ID 5496775090, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Durham-Chapel Hill Jewish Federation

  dba Jewish Family Services

  • Voluntary or Charitable Agency
  • Durham, NC
  • NPI 1841367265
  Medicare reassignment Care Compare group NPD
• Lucy Daniels Center

  • Clinical Social Worker
  • Cary, NC
  • NPI 1598693665
  NPD (past)
• The Lucy Daniels Center for Early Childhood

  • Group Psychotherapy Psychologist
  • Cary, NC
  • NPI 1417002262
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1265808844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423A WHITEHEAD CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 WESTON PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132201",
            "telephone_number": "919-636-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "SHOSHANA",
        "middle_name": "ALIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Fuller, D.C.
• Jessica Fullerton
• Charly Fulp, LCMHC-A
• Samantha Fulton, M.P.T.
• Steven Elliott Funderburk, PHARM.D.
• Samirah Abdurraheem Furbee, LCSW
• Stephen Joseph Furs, M.D.
• Rebecca Furth
• Victoria Ann Fury
• Maria H. Futch

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.