Jamie Marie Funk

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15577 Issued in MD

Practice address

421 S Macon St
Baltimore, MD 21224-2630

Phone

(443) 630-0850

NPI assigned

Dec 21, 2023

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Dec 21, 2023.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1497524201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S MACON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S MACON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242630",
            "telephone_number": "443-630-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fundora, M.D.
• Jeillyn Funes
• Christopher Fung, MD
• Devin Fung
• Dawn Funk
• Kayla Marie Funk, CHES
• Rachael Funk, LCSW-C
• Taylor Funkhouser, PHARMD
• Kazeem Adedayo Funmilayo
• Kelli Fuqua, MOT, OTR/L

• All providers in Baltimore, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.