National Provider Identifier

Monique Yvette Funderburk, LMSW

Monique Yvette Funderburk, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 339-2883.

NPI 1548072382Buffalo, NYClinical Social Worker

Profile Overview

NPI
1548072382
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 20, 2025
Last Updated
January 20, 2025

Practice Location

  • 651 Delaware Ave Ste 124
  • Buffalo, NY 14202-1051

Phone: (716) 339-2883

Specialties

  • Clinical Social Worker (1041C0700X)

Endpoints

  • yvette33_2000@yahoo.com

    Connect Url | Health Information Exchange (Hie) | Csv | Buffalo, NY 14202

    Csv

Full Record
NPI
1548072382
Entity Type
Individual
Last Name
Funderburk
First Name
Monique
Middle Name
Yvette
Name Prefix
MS.
Credential
LMSW
Mailing Street Address
651 Delaware Ave Ste 124
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1051
Mailing Country
US
Mailing Phone
(716) 339-2883
Mailing Fax
(716) 287-6682
Practice Street Address
651 Delaware Ave Ste 124
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1051
Practice Country
US
Practice Phone
(716) 339-2883
Practice Fax
(716) 287-6682
Enumeration Date
January 20, 2025
Last Updated
January 20, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 20, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)