National Provider Identifier

Brocton Funke, LMSW

Brocton Funke, LMSW is listed in the NPPES registry with a primary specialty of School Social Worker in Tonawanda, NY and a listed phone number of (716) 961-4050.

NPI 1316421654Tonawanda, NYSchool Social Worker

Profile Overview

NPI
1316421654
Provider Type
Individual
Primary Specialty
School Social Worker
Enumeration Date
September 22, 2018
Last Updated
September 22, 2018

Practice Location

  • 333 Dexter Ter
  • Tonawanda, NY 14150-4747

Phone: (716) 961-4050

Specialties

  • School Social Worker (1041S0200X)
Full Record
NPI
1316421654
Entity Type
Individual
Last Name
Funke
First Name
Brocton
Name Prefix
Mr.
Credential
LMSW
Mailing Street Address
333 Dexter Ter
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-4747
Mailing Country
US
Mailing Phone
(716) 961-4050
Practice Street Address
333 Dexter Ter
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-4747
Practice Country
US
Practice Phone
(716) 961-4050
Enumeration Date
September 22, 2018
Last Updated
September 22, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Social Worker (1041S0200X)