FUNDERBURG CCS
NPI 1225254279
Social Worker - Clinical in Southfield, MI

Active since April 18, 2007
25438 SAINT JAMES, SOUTHFIELD, MI 48075(248) 809-9105(248) 659-1528 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Funderburg Ccs NPPES

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

FUNDERBURG CCS (NPI 1225254279) is a healthcare organization registered as a clinical in Southfield, Michigan and active in the NPI registry since April 2007. The organization lists Gerald Roderick Funderburg, Owner, as its authorized official.

NPPES Registry Identity

NPI1225254279
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFUNDERBURG CLINICAL AND COMMUNITY SERVICES
Location Address25438 SAINT JAMESSouthfield, MI 48075-1247
Mailing Address25438 Saint JamesSouthfield, MI 48075-1247 · (248) 809-9105 · Fax (248) 659-1528
Fax(248) 659-1528
Organization SubpartNo
Authorized OfficialGerald Roderick FunderburgOwner · (248) 809-9105
Enumeration DateApril 18, 2007
Last NPPES UpdateSeptember 11, 2009
NPI 1225254279 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 MI · 6801086140
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.
25438 SAINT JAMES, Southfield, MI 48075

Other Names 1

Doing Business AsFunderburg Ccs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Psychologist
25438 SAINT JAMES
SOUTHFIELD, MI 48075
Counselor (Addiction (Substance Use Disorder))
25438 SAINT JAMES
SOUTHFIELD, MI 48075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Funderburg Clinical And Community Services's NPI number?

The NPI number for Funderburg Clinical And Community Services is 1225254279. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Funderburg Ccs.

Where is Funderburg Clinical And Community Services located?

Funderburg Clinical And Community Services is located at 25438 Saint James, Southfield, MI 48075. The listed phone number is (248) 809-9105.

What is Funderburg Clinical And Community Services's specialty?

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

When was this NPI record last updated?

The NPPES record for Funderburg Clinical And Community Services was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.