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KIM EVANGELINE FUNDERBURK MSW
NPI 1346360658
Social Worker - Clinical in Walla Walla, WA

Active since March 30, 2007PECOS EnrolledAccepts Medicare Assignment
401 W MAIN ST, STE B, WALLA WALLA, WA 99362(509) 240-2644(509) 524-0260 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Evangeline Funderburk Msw NPPES

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

KIM EVANGELINE FUNDERBURK MSW (NPI 1346360658) is an individual clinical provider in Walla Walla, Washington, licensed in Washington (LW60020675) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1346360658
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM EVANGELINE FUNDERBURKCredential: MSW
Location Address401 W MAIN ST, STE BWalla Walla, WA 99362-2837
Mailing AddressPo Box 2644Walla Walla, WA 99362-0333 · (509) 240-2644 · Fax (509) 524-0260
Phone(509) 240-2644
Fax(509) 524-0260
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 30, 2007
Last NPPES UpdateJune 2, 2014
✔ NPI 1346360658 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 WA · LW60020675
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.
401 W MAIN ST, Walla Walla, WA 99362
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Other Identifiers 1

Medicare PING8926907WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Evangeline Funderburk Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456583558
PECOS Enrollment IDI20140403001174
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 4

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

ANGELA LEIGH MARROQUIN MSN, FNP,ARNP
Nurse Practitioner
401 W MAIN ST
WALLA WALLA, WA 99362
Walla Walla County (877) 522-1275
CATHERINE J MEHN LICSW
Counselor (Mental Health)
401 W MAIN ST, SUITE # 101
WALLA WALLA, WA 99362
Walla Walla County (509) 301-0476
SUNRISE FAMILY COUNSELING, LLC
Social Worker (Clinical)
401 W MAIN ST
WALLA WALLA, WA 99362
Walla Walla County (405) 501-4200
CHERIE LEA GARDNER DBA ZOUNDS HEARING
Preferred Provider Organization
401 W MAIN ST, SUITE 105
WALLA WALLA, WA 99362
Walla Walla County (509) 948-3321

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 Kim Funderburk's NPI number?

The NPI number for Kim Funderburk is 1346360658. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Kim Funderburk located?

Kim Funderburk practices at 401 W Main St Ste B, Walla Walla, WA 99362. The listed phone number is (509) 240-2644.

What is Kim Funderburk's specialty?

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

Is Kim Funderburk enrolled in Medicare?

Yes. Kim Funderburk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kim Funderburk accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kim Funderburk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Funderburk was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.