Jamarr J Funderburg, LCSW, LCAS, CCS is a
Social Worker - Clinical based in Charlotte, North Carolina. Jamarr J Funderburg is licensed to practice in North Carolina (license number C005599) and his current practice location is
1905 J N Pease Pl Ste 202, Charlotte, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 771-4633.
NPI number for Jamarr J Funderburg is 1871632430 and his current mailing address is 1905 J N Pease Pl Ste 202, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871632430.
Healthcare Provider's Profile
| Full Name | Jamarr J Funderburg |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1905 J N Pease Pl Ste 202, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871632430
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 10/24/2018
Medical Identifiers
Medical identifiers for Jamarr J Funderburg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871632430 | NPI | - | NPPES |
| 1184 | Other | NC | LCAS |
| C005599 | Other | NC | LCSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1184 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C005599 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamarr J Funderburg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jamarr J Funderburg, LCSW, LCAS, CCS
1905 J N Pease Pl Ste 202,
Charlotte, NC 28262-4539
Ph: (704) 771-4633 | Jamarr J Funderburg, LCSW, LCAS, CCS
1905 J N Pease Pl Ste 202,
Charlotte, NC 28262-4539
Ph: (704) 771-4633 |
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