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FATIMA FUNDERBURK LCSWA
NPI 1639703804
Social Worker - Clinical in Raleigh, NC

Active since February 26, 2020PECOS Enrolled
2411 TONY TANK LN APT 301, RALEIGH, NC 27613(336) 934-2327 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2025, Feb 26, 2020 (2 updates tracked since 2020).

About Fatima Funderburk Lcswa NPPES

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

FATIMA FUNDERBURK LCSWA (NPI 1639703804) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C018940) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639703804
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameFATIMA FUNDERBURKCredential: LCSWA
Location Address2411 TONY TANK LN APT 301Raleigh, NC 27613-3860
Mailing Address1038 Alston Village LnCary, NC 27519-1870
Phone(336) 934-2327
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 26, 2020
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1639703804 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 NC · C018940
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.
2411 TONY TANK LN APT 301, Raleigh, NC 27613
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatima Funderburk Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527555028
PECOS Enrollment IDI20251017000357
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 27613 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Fatima Funderburk's NPI number?

The NPI number for Fatima Funderburk is 1639703804. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Fatima Funderburk located?

Fatima Funderburk practices at 2411 Tony Tank Ln Apt 301, Raleigh, NC 27613. The listed phone number is (336) 934-2327.

What is Fatima Funderburk's specialty?

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

Is Fatima Funderburk enrolled in Medicare?

Yes. Fatima Funderburk is registered in the Medicare PECOS enrollment system.

What insurance does Fatima Funderburk accept?

Health plans from Blue Cross and Blue Shield of NC list Fatima 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 Fatima Funderburk was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.