Ryan Thomas Funk, LMSW, LMAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12871 Issued in KS

Practice address

2500 W 31St St Ste G
Lawrence, KS 66047-3051

Phone

(913) 747-5087

NPI assigned

Feb 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Integrated Clinical Services, LLC

  • Social Worker
  • Lawrence, KS
  • NPI 1740842277

  Clinical

  NPD

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1962034017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 31ST ST STE G",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473051",
            "telephone_number": "913-747-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 31ST ST STE G",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473051",
            "telephone_number": "913-747-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LMSW, LMAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "12871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201258150A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Fry, LMFT, TLMAC
• Karen Frykholm, LCMFT
• Nora H Fulks
• Heather Marie Casey Fuller, LSCSW
• Douglas Lloyd Funk, R.PH.
• Jamie Marie Gabriel, LSCSW
• Theresa Marie Gabrielson, LMSW
• Gadugi Safecenter, Inc.
• Emmarie Gainer
• Mark Galang, PHARMD

• Clinical Social Worker in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.