Leeann Jeanette Funk in Scott Air Force Base - Clinical
Leeann Jeanette Funk - NPI 1750418646
Leeann Jeanette Funk is a Clinical in Scott Air Force Base, Illinois. Leeann Jeanette Funk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leeann Jeanette Funk is 1750418646. The last update date is 2009-06-16.
Leeann Jeanette Funk's current location address is 310 W Losey St, Scott Air Force Base, Illinois. You can contact this provider via phone number 6182567203 and fax number 6182567246. The mailing address for Leeann Jeanette Funk is 310 W Losey St, Scott Air Force Base, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leeann Jeanette Funk |
|---|---|
| Address | 310 W Losey St, Scott Air Force Base, Illinois |
| Phone Number | 6182567203 |
| Fax Number | 6182567246 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1750418646 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2009-06-16 |
Provider Mailing Address Detail
| Address | 310 W Losey St |
|---|---|
| City | Scott Air Force Base |
| State | Illinois (IL) |
| Post Code | 622255250 |
| Phone Number | 6182567203 |
| Fax Number | 6182567246 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2001004059 |
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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 identifier code issued to Leeann Jeanette Funk by the Centers for Medicare & Medicaid Services?
The Leeann Jeanette Funk has been assigned the NPI (National Provider Identifier) 1750418646. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Leeann Jeanette Funk?
The Leeann Jeanette Funk is physically situated at 310 W Losey St, in the city of Scott Air Force Base, state of IL, with the postal code 622255250.
What is Leeann Jeanette Funk's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Leeann Jeanette Funk is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750418646 to Leeann Jeanette Funk?
The Centers for Medicare & Medicaid Services assigned the 1750418646 to Leeann Jeanette Funk on 2007-02-27.
When was the Leeann Jeanette Funk's information last updated?
The Leeann Jeanette Funk's information was last updated on 2009-06-16.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC