Individual provider · Type 1 NPI

Mariah Jacqueline Funk

Clinical Social Worker · Grass Valley, CA

NPI number 1073271250 Active

Practice location

900 E Main St Ste 201
Grass Valley, CA 95945-5853

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist	106H00000X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Day Training/Habilitation Specialist	373H00000X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Day Training/Habilitation Specialist	373H00000X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073271250

Mariah Jacqueline Funk's National Provider Identifier is 1073271250, issued on Dec 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grass Valley, CA. The record was last updated on Sep 24, 2026.