Active NPI
Marie Funk
- Clinical Social Worker
- Chapel Hill, NC
National Provider Identifier
1689058703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010439
- Practice address
- 104 S Estes Dr
Suite 301-U
Chapel Hill, NC 27514-2866 - Phone
- (919) 883-5372
- NPI assigned
- Jul 18, 2015
- Last updated
- May 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C010439 | NC | Primary |
Addresses
Primary practice location
104 S Estes Dr
Suite 301-U
Chapel Hill, NC 27514-2866
Mailing address
615 Ruby St
Durham, NC 27704-4141
Phone (919) 883-5372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C010439 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1689058703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 RUBY ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277044141",
"telephone_number": "919-883-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S ESTES DR",
"address_2": "SUITE 301-U",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142866",
"telephone_number": "919-883-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-18",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.