Maria Funkquist, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01475 Issued in RI

Practice address

215 Washington St
West Warwick, RI 02893-5017

Phone

(401) 822-1360

NPI assigned

Jan 2, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447317334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29A EAGLE RUN",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WASHINGTON ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028935017",
            "telephone_number": "401-822-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKQUIST",
        "first_name": "MARIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MF47786",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "410240",
            "identifier": "BLUE CHIP",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "21668",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine K Forbes
• Ash Francis
• Frank W Lafazia Inc
• Griffin Fraser, LCSW
• Andrea Fugate
• Jessica A Fuss, CD(DONA)
• Holly Gagnon
• Lawrence Gallagher, LMT
• May Dongmei Gao, DMD
• Jessica L Garcia, LICSW

• Clinical Social Worker in West Warwick, RI
• Providers in West Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.