GEORGE FUNNELL (NPI# 1154804581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154804581 |
| Entity Type | Individual |
| Full Name | GEORGE FUNNELL |
| Practice Address |
407 W Water St Elmira NY 14905-2562 |
| Practice Telephone | 6077340980 |
| Practice Fax Number | 6077340981 |
| Mailing Telephone | 6077340980 |
| Mailing Fax Number | 6077340981 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
069585 | NY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
407 W WATER ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982654323 | Linda Mary Riner | Social Worker | 407 W Water St, Elmira, NY 14905-2521 | 2006-05-10 |
| 1295373108 | Ann Milliken Gerould | Social Worker | 407 W Water St, Elmira, NY 14905-2562 | 2019-12-11 |
| 1568027357 | Kyle Donovan Kucmierowski | Social Worker | 407 W Water St, Elmira, NY 14905-2562 | 2019-05-07 |
| 1861963514 | Laura Elizabeth Ciccotti | Social Worker | 407 W Water St, Elmira, NY 14905-2562 | 2018-12-06 |
| 1053588103 | Regina Keddell | Social Worker | 407 W Water St, Elmira, NY 14905-2521 | 2008-05-08 |
| 1669562484 | Patricia A Babcock | Nurse Practitioner | 407 W Water St, Elmira, NY 14905-2521 | 2006-10-13 |
| 1205937778 | Kathleen Ann Webster | Social Worker | 407 W Water St, Elmira, NY 14905-2521 | 2006-09-26 |
| 1891896361 | Ann Marie Stooks | Social Worker | 407 W Water St, Elmira, NY 14905-2521 | 2006-09-26 |
| 1699876177 | Kevin Joseph Murphy | Social Worker | 407 W Water St, Elmira, NY 14905-2521 | 2006-09-26 |
| 1659472132 | Sandra Lynn Brenen | Social Worker | 407 W Water St, Elmira, NY 14905-2521 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
| Find all providers in zip 14905 | ||||
| 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 |
|---|---|---|---|---|
| 1669843405 | Cindy Brewer | Social Worker | 107 Westmont Ave, Elmira, NY 14905-1942 | 2015-10-19 |
| 1699154906 | Michael Eckstein | Social Worker | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2015-05-20 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1316275373 | Sharon Roberts | Social Worker | 231 W Water St, Elmira, NY 14901-2937 | 2009-12-02 |
| 1720223878 | Henry M Schurr | Social Worker | 14 Vixon Cir, Elmira, NY 14903-7923 | 2008-12-03 |
| 1043479868 | Marie Coleman | Social Worker | 311 W Water St, Elmira, NY 14901-2914 | 2008-06-06 |
| 1093854960 | Dagmar M Bryant | Social Worker | 956 Graylea Circle, Elmira, NY 14905-1412 | 2007-02-06 |
| 1649328790 | M. Karen Tranter | Social Worker | 414 E Church St, Elmira, NY 14901-2803 | 2007-01-08 |
| 1740345560 | Bobbie Jo Johnson | Social Worker | 462 W. Church St., Elmira, NY 14901 | 2006-12-22 |
| 1548360308 | William Noble Bryant | Social Worker | 550 East Church Street, Elmira, NY 14901 | 2006-09-22 |
| Find all providers in ELMIRA | ||||
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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.