Active NPI
Rachael Funk, LCSW-C
- Clinical Social Worker
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16658
- Practice address
- 701 W Pratt St
5TH Floor
Baltimore, MD 21201-1023 - Phone
- (410) 328-2564
- Fax
- (410) 328-0096
- NPI assigned
- Dec 9, 2014
- Last updated
- Dec 9, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16658 | MD | Primary |
Addresses
Primary practice location
701 W Pratt St
5TH Floor
Baltimore, MD 21201-1023
Mailing address
701 W Pratt St
5TH Floor
Baltimore, MD 21201-1023
Phone (410) 328-2564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Hamill Rd
Suite 410
Baltimore, MD 21210-1839
Phone (410) 504-1575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16658 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Expresscare LLC | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| University of Maryland Medical System Corporation | Current | Accepting new patients | |
| University of Maryland Medical Center, LLC | Current | Accepting new patients | |
| University of Maryland Medical Center | Current | Accepting new patients | |
| University of Maryland Medical Center, LLC | Current | Accepting new patients | |
| University of Maryland Medical Center, LLC | Past | Accepting new patients | |
| University of Maryland Medical Center, LLC | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
2 Hamill Rd
Ste 410
Baltimore, MD 21210
Phone (410) 504-1575
701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881
701 W Pratt St
Fl 5
Baltimore, MD 21201
Phone (410) 328-2564
701 W Pratt St
Fl Fifth
Baltimore, MD 21201
Phone (410) 328-2564
5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 9
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.
-
dba UMMC Programs of Assertive Community Treatment
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1992896013
-
- Certified Registered Nurse Anesthetist
- Baltimore, MD
- NPI 1508807355
-
dba University of Maryland Community Psychiatry
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1760572986
-
dba UMMC Pharmacy at Baltimore Washington
- Durable Medical Equipment & Medical Supplies
- Glen Burnie, MD
- NPI 1750179545
-
dba UMMC Community Psychiatry Integrated Care
- General Acute Care Hospital
- Baltimore, MD
- NPI 1659779171
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1861580425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1275931107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W PRATT ST",
"address_2": "5TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011023",
"telephone_number": "410-328-2564",
"fax_number": "410-328-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W PRATT ST",
"address_2": "5TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011023",
"telephone_number": "410-328-2564",
"fax_number": "410-328-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "RACHAEL",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.