Amber Funderburk Fair, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022145 Issued in NC

Practice address

107 Lamlash LN
Cary, NC 27511-5675

Phone

(704) 380-1292

NPI assigned

Jun 27, 2025

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 names 1

• Amber Funderburk Former name

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1487542312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LAMLASH LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115675",
            "telephone_number": "704-380-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LAMLASH LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115675",
            "telephone_number": "704-380-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "AMBER",
        "middle_name": "FUNDERBURK",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "FUNDERBURK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Serena Ezzeddine, M.D.
• Taylor Facchino
• Facing the Future Inc
• Facing the Future Inc
• Rhythm Fadia, DMD
• Scott N Fairbrother, MD
• Amy Dawn Fairchild, M.D.
• Kathleen Fairchild, BCBA
• Allyson P Faizon, LCSWA
• Linda Fallon, LCSWA

• 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 Jun 27, 2025; 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.