Active NPI
Cassandra Funk
- Social Worker
- Buffalo, NY
National Provider Identifier
1689178444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103320-1
- Practice address
- 1280 Main St
Buffalo, NY 14209-1912 - Phone
- (716) 882-5797
- Fax
- (716) 882-0293
- NPI assigned
- Mar 19, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 103320-1 | NY | Primary |
Addresses
Primary practice location
1280 Main St
Buffalo, NY 14209-1912
Mailing address
227 Thorn Ave
Orchard Park, NY 14127-2600
Phone (716) 662-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- State University of New York at Buffalo School of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 International Dr
Suite 200
Williamsville, NY 14221-5781
33 Ontario St
Lockport, NY 14094-2895
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101253 | NY | MD | Social Worker |
| 103320-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dale Association, Inc. | Current | Accepting new patients |
Locations
33 Ontario St
Lockport, NY 14094
Phone (716) 433-1937
89 River Rd
North Tonawanda, NY 14120
Phone (716) 693-9961
Organizations & group practices 1
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.
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- North Tonawanda, NY
- NPI 1962407783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1689178444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 THORN AVE",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272600",
"telephone_number": "716-662-2040",
"fax_number": "716-662-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142091912",
"telephone_number": "716-882-5797",
"fax_number": "716-882-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103320-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.