Deonica Marie Funn, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW122347 Issued in CA

Practice address

16823 Arrow Blvd
Fontana, CA 92335-3803

Phone

(909) 355-3888

Fax

(909) 355-9966

NPI assigned

Jun 26, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 Day Recovery Center, Inc.

  • Marriage & Family Therapist
  • Chino, CA
  • NPI 1376559625

  Single Specialty

  NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1740025311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10584 MOUNTAIN VIEW AVE APT L",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738419",
            "telephone_number": "619-907-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16823 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353803",
            "telephone_number": "909-355-3888",
            "fax_number": "909-355-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNN",
        "first_name": "DEONICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW122347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Buckley Fryman, M.A.
• FTF Pharmacy Corporation
• Carla Fucich
• Amparo Fuentes
• Functional Clinical Services
• Katrina Lorraine Furgerson Garza
• Kent Jerrold Fyfe, DDS
• Patty Fynaardt, PHARM.D.
• Tricia Lynn Fynewever, MD
• Mark Hidalgo Gabot, C.R.N.A

• Clinical Social Worker in Fontana, CA
• Providers in Fontana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.