Active NPIIndividual provider

Ms. Nancy P Funderburg, LCSW

Social Worker in Nantucket, Massachusetts

NPI Number1124271788
Practice location
20 Vesper Ln Unit L1, Nantucket Behavioral Health Services, Nantucket, MA 02554-4394
Fax
508-228-3613
Last updated
October 28, 2008

Nancy Palchanis Funderburg is a Social Worker based in Nantucket, MA. Nancy Palchanis Funderburg practices in Nantucket, MA and has the professional credentials of LCSW. The NPI Number for Nancy Palchanis Funderburg is 1124271788 and holds a License No. 215268 (MA). The current practice location address for Nancy Palchanis Funderburg is 20 Vesper Ln Unit L1, Nantucket Behavioral Health Services, Nantucket, MA 02554-4394 and can be reached out via phone at 508-228-2689 and via fax at 508-228-3613.

Provider Profile Details

NPI Number
1124271788
Provider Name
Nancy Palchanis Funderburg
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
20 Vesper Ln Unit L1, Nantucket Behavioral Health Services, Nantucket, MA 02554-4394
Phone Number
508-228-2689
Fax Number
508-228-3613
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
October 28, 2008
Last Update Date
October 28, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Vesper Ln Unit L1
Nantucket Behavioral Health Services
Nantucket, MA 02554-4394
Zip
02554-4394
Phone Number
508-228-2689
Fax Number
508-228-3613
Nantucket, MA 02554Get directions →

Provider Business Mailing Address Details

Address
20 Vesper Ln Unit L1
Nantucket Behavioral Health Services
Nantucket, MA 02554-4394
City
Nantucket
State
MA
Zip
02554-4394
Phone Number
508-228-2689

License Information

License Number (1)
215268
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X · Primary
License Number (2)
215268
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Nancy P Funderburg, LCSW?

The NPI number of Ms. Nancy P Funderburg, LCSW is 1124271788. It was assigned on October 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Nancy P Funderburg, LCSW?

Ms. Nancy P Funderburg, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 215268.

Where does Ms. Nancy P Funderburg, LCSW practice?

The practice location is 20 Vesper Ln Unit L1, Nantucket Behavioral Health Services, Nantucket, MA 02554-4394. The office can be reached at 508-228-2689 (phone) or 508-228-3613 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124271788 directly on the NPPES registry website.

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