Diane R Funk is a Clinical in Ottawa, Illinois. Diane R Funk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane R Funk is 1184771420. The last update date is 2023-05-24.
Diane R Funk's current location address is 227 W Madison St, Ottawa, Illinois. You can contact this provider via phone number 8159426323 and fax number 7792105541. The mailing address for Diane R Funk is 227 W Madison St, Ottawa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane R Funk |
|---|---|
| Address | 227 W Madison St, Ottawa, Illinois |
| Phone Number | 8159426323 |
| Fax Number | 7792105541 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1184771420 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2023-05-24 |
Provider Mailing Address Detail
| Address | 227 W Madison St |
|---|---|
| City | Ottawa |
| State | Illinois (IL) |
| Post Code | 613502866 |
| Phone Number | 8159426323 |
| Fax Number | 7792105541 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.006277 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Diane R Funk by the Centers for Medicare & Medicaid Services?
The Diane R Funk has been assigned the NPI (National Provider Identifier) 1184771420 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Diane R Funk is located?
The Diane R Funk is situated at the following address: 227 W Madison St, Ottawa, IL, 613502866.
What is Diane R Funk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Diane R Funk is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Diane R Funk receive the assignment of its 1184771420 from the Centers for Medicare & Medicaid Services?
The Diane R Funk was issued its 1184771420 by the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the Diane R Funk's details last updated?
The information pertaining to the Diane R Funk, including its address, specialty, and other details, was most recently updated on 2023-05-24.
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