Monique Yvette Funderburk, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088803 Issued in NY

Practice address

651 Delaware Ave Ste 124
Buffalo, NY 14202-1051

Phone

(716) 339-2883

Fax

(716) 287-6682

NPI assigned

Jan 20, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Purpose Counseling, LCSW PLLC

  • Clinical Social Worker
  • Buffalo, NY
  • NPI 1932754504
  NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1548072382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 DELAWARE AVE STE 124",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021051",
            "telephone_number": "716-339-2883",
            "fax_number": "716-287-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DELAWARE AVE STE 124",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021051",
            "telephone_number": "716-339-2883",
            "fax_number": "716-287-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDERBURK",
        "first_name": "MONIQUE",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yvette33_2000@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "CSV",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "651 Delaware Ave Ste 124",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142021051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Isaac Fuller, MD
• Stephanie Danielle Fuller
• Adreanna Fulton
• Laura Armenia Fumerelle
• Sandra Fundalinski, NP
• Simon Fung-Kee-Fung, MD
• Michael Fung, MBCHB
• Shavin Marissa Fung
• Tat Shing Fung, MD
• Amanda Funiciello

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.