Individual provider · Type 1 NPI
Kim Evangeline Funderburk, MSW
Clinical Social Worker · Walla Walla, WA
Practice location
401 W Main St, Ste B
Walla Walla, WA 99362-2837
Fax (509) 524-0260
Mailing address
PO Box 2644
Walla Walla, WA 99362-0333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LW60020675 (WA) |
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…
4 other providers at this address
- Cherie Lea Gardner dba Zounds HearingPreferred Provider Organization Walla Walla, WA NPI 1932565785
- Sunrise Family Counseling, LLCClinical Social Worker Walla Walla, WA NPI 1730888280
- Angela Leigh Marroquin, MSN, FNP, ARNPNurse Practitioner Walla Walla, WA NPI 1225620099
- Catherine J. Mehn, LICSWMental Health Counselor Walla Walla, WA NPI 1265703714
Other clinical social worker providers in Walla Walla
- Heather Adkins, LISCWClinical Social Worker Walla Walla, WA NPI 1003202854
- David N. Silva, MSW, LICSW, BCD, CDPClinical Social Worker Walla Walla, WA NPI 1003928052
- Oliver Birchwood-Glover, LCSWClinical Social Worker Walla Walla, WA NPI 1013116193
- Steven Gilbert DalgleishClinical Social Worker Walla Walla, WA NPI 1013470103
- Laura Grace Reiber, LICSW ACSWClinical Social Worker Walla Walla, WA NPI 1023017365
- Rodney John Opsal, A.C.S.W., L.I.C.S.W.Clinical Social Worker Walla Walla, WA NPI 1043321466
- Dawn Irene Avery, LICSWClinical Social Worker Walla Walla, WA NPI 1043966765
- Teresa Wiedemann, LICSWClinical Social Worker Walla Walla, WA NPI 1063790509
About NPI 1346360658
Kim Evangeline Funderburk, MSW's National Provider Identifier is 1346360658, issued on Mar 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Walla Walla, WA. The record was last updated on Jun 2, 2014.