Individual provider Active NPI

Rachael Funk, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1275931107
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16658 Issued in MD
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150304000184 MD Practitioner - Clinical Social Worker 0547586828 Reassigns benefits to 3 organizations
I20250103001240 DC Practitioner - Clinical Social Worker 0547586828 Reassigns benefits to 1 organization

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
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

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

LicenseStateTypeSpecialty
16658MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Expresscare LLC CurrentSince Jan 1, 2015 Accepting new patients
Thrive Counseling LLC CurrentSince Feb 27, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 27, 2024 Accepting new patients
University of Maryland Medical System Corporation Current Accepting new patients
University of Maryland Medical Center, LLC CurrentSince Feb 1, 2024 Accepting new patients
University of Maryland Medical Center CurrentSince Jan 1, 2015 Accepting new patients
University of Maryland Medical Center, LLC CurrentSince Feb 1, 2024 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
University of Maryland Medical Center, LLC PastSince Feb 18, 2024 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.

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

Verify at the official NPI Registry.