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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LEEANN JEANETTE FUNK, LCSW

Active

MS. LEEANN JEANETTE FUNK, LCSW is a Clinical Social Worker healthcare provider located in SCOTT AIR FORCE BASE, Illinois. NPI 1750418646 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SCOTT AIR FORCE BASE, IL

Registration Details

NPI Number
1750418646
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2007 (19.452228415716 yrs)
Last Updated
Jun 16, 2009
Licenses
2001004059 (MO)
149.009427 (IL)

Practice Information

Address
310 W LOSEY ST
FAMILY ADVOCACY PROGRAM BUILDING 1533
SCOTT AIR FORCE BASE, IL, 622255250
Browse IL providers · Browse ZIP 62225
Phone
6182567203
Fax
6182567246
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SCOTT AIR FORCE BASE, IL

Name Credential NPI
MRS. CYNTHIA CAIN LCSW 1578558151
CHRISTINE LEIGH KMIECIK 1053684712
RACHEL J RUNSWICK LCSW 1366170920
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.