GEORGE FUNNELL
NPI 1154804581
Social Worker - Clinical in Elmira, NY

Q: What is George Funnell's NPI number?

The NPI number for George Funnell is 1154804581. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Q: What is George Funnell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for George Funnell was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2018PECOS Enrolled

407 W WATER ST, ELMIRA, NY 14905(607) 734-0980(607) 734-0981 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About George Funnell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE FUNNELL (NPI 1154804581) is an individual clinical provider in Elmira, New York, licensed in New York (069585) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1154804581

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameGEORGE FUNNELL

Location Address407 W WATER STElmira, NY 14905-2562

Mailing Address407 W Water StElmira, NY 14905-2562 · (607) 734-0980 · Fax (607) 734-0981

Phone(607) 734-0980

Fax(607) 734-0981

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateSeptember 11, 2018

✔ NPI 1154804581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 069585

Definition

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.

407 W WATER ST, Elmira, NY 14905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George Funnell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305180225

PECOS Enrollment IDI20181204002336

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show George Funnell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Tier Counseling Center, LLC

Same address

Clinical

407 W WATER ST
Elmira, NY 14905

Reassigned Medicare billing, New York enrollment
5 clinicians in this Medicare group

NPI 1598716292 (607) 734-0980

Samaritan Counseling Center Of The Southern Tier Inc

39 mi

Mental Health

202 E MAIN STREET
Endicott, NY 13760

Reassigned Medicare billing, New York enrollment
9 clinicians in this Medicare group

NPI 1467520080 (607) 754-2660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.87 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS REGINA KEDDELL LCSW-R

Social Worker (Clinical)