MS. LEEANN JEANETTE FUNK (NPI# 1750418646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750418646 |
| Entity Type | Individual |
| Full Name | MS. LEEANN JEANETTE FUNK |
| Credential | LCSW |
| Practice Address |
310 W Losey St Family Advocacy Program Building 1533 Scott Air Force Base IL 62225-5250 |
| Mailing Address |
2161 Nw Military Hwy Cmse Suite 308 San Antonio TX 78213-1878 |
| Practice Telephone | 6182567203 |
| Practice Fax Number | 6182567246 |
| Mailing Telephone | 2103413336 |
| Mailing Fax Number | 2103413455 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.009427 | IL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2001004059 | MO | Behavioral Health & Social Service Providers |
| Street Address |
310 W LOSEY ST FAMILY ADVOCACY PROGRAM BUILDING 1533 |
| City | SCOTT AIR FORCE BASE |
| State | IL |
| Zip Code | 62225-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074660 | Richard Sigurd Larson IIi | Nurse Practitioner | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2019-10-17 |
| 1467019976 | Connor James Denison | Dentist | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2019-05-21 |
| 1558850271 | Phoebe Marie Blakeley | Student in an Organized Health Care Education/Training Program | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2018-05-08 |
| 1629575535 | Don Ho | Student in an Organized Health Care Education/Training Program | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2018-04-07 |
| 1386198679 | Gregory James Chaffin | Dentist | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2016-08-04 |
| 1750734612 | Christopher Sean Durkin | Family Medicine | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2016-07-15 |
| 1093192908 | St. Louis Jc Vamc | Clinic/Center | 310 W Losey St, 375th Medical Group, Scott Air Force Base, IL 62225-5250 | 2015-04-29 |
| 1225439045 | Erin O'connor | Military Health Care Provider | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2014-09-11 |
| 1770993875 | Nicholas Littman | General Practice | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2014-04-29 |
| 1316091887 | Troy W Johnson | Optometrist | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
| 1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1841853710 | Lance Scott Mcgavin | Student in an Organized Health Care Education/Training Program | 307 West Losey Street., Building #1535, Scott Afb, IL 62225 | 2019-04-17 |
| 1629503180 | Joshua Bryce Kessack | General Practice | 375 Amds, 310 Losey St, Scott Afb, IL 62225 | 2017-04-21 |
| 1265988059 | Jennifer Nicole Laurence | Dentist | 703 Seibert Rd Ste 5, Scott Afb, IL 62225 | 2016-08-31 |
| 1578940755 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 | 2015-04-27 |
| 1891193652 | Diana Meyer | Social Worker | Scott Afb, Apo, AA 62225 | 2014-12-10 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
| Find all providers in zip 62225 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578558151 | Cynthia Cain | Social Worker | 310 W Losey St, 375 Mdos/shohf, Scott Air Force Base, IL 62225-5250 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT AIR FORCE BASE |
| Zip Code | 62225 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.