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Contact Information

JUDY C FUNK LSCW CLINICAL SOCIAL WORK LLC
5103 SW SURF SCOOTER ST
LEE'S SUMMIT, MO64082-4599
 Phone: 816-509-4211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Adult Care Home

311ZA0620X
 

Assisted Living, Behavioral Disturbances

3104A0630X
 

Residential Treatment Facility, Physical Disabilities

320700000X
Indicates primary specialty

NPI Profile & details for JUDY C FUNK LSCW CLINICAL SOCIAL WORK LLC · (Female)

NPI # 1679889711
Status Active
Credentials
Entity Individual
Enumeration date 08/26/2010
Last updated 08/27/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 200903697
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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