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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

NPI # 1679889711
LBN Legal business name JUDY C FUNK LSCW CLINICAL SOCIAL WORK LLC
Authorized official JUDY FUNK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2010
Last updated 08/27/2010 - About 16 years ago
Identifiers
MO License # 200903697
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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