Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM EVANGELINE FUNDERBURK, MSW
Active Sole ProprietorKIM EVANGELINE FUNDERBURK, MSW is a Clinical Social Worker healthcare provider located in WALLA WALLA, Washington. NPI 1346360658 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WALLA WALLA, WA
Registration Details
- NPI Number
- 1346360658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2007 (19.359481186418 yrs)
- Last Updated
- Jun 2, 2014
- License
-
LW60020675 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 W MAIN STSTE BWALLA WALLA, WA, 993622837Browse WA providers · Browse ZIP 99362
- Phone
- 5092402644
- Fax
- 5095240260
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WALLA WALLA, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. LAURA GRACE REIBER | LICSW ACSW | 1023017365 |
| MARIANNE DONOHUE HASHIMOTO | LICSW | 1497754352 |
| MARTI K BRADLEY | MSW ACSW LICSW | 1184635146 |
| RODNEY JOHN OPSAL | A.C.S.W., L.I.C.S.W. | 1043321466 |
| MR. DAVID N SILVA | MSW, LICSW,BCD,CDP | 1003928052 |
| MR. EUGENE JOSEPH DOTOLO | LICSW | 1699887182 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.