TIARAH MARIE FUNDERBURK LMSW
NPI 1740870450
Social Worker in Baltimore, MD
About Tiarah Marie Funderburk Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIARAH MARIE FUNDERBURK LMSW (NPI 1740870450) is an individual social worker in Baltimore, Maryland, licensed in Maryland (26353) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tiarah Marie Funderburk Lmsw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tiarah Funderburk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bel Air, MD 21015
- Reassigned Medicare billing, Maryland enrollment
- 131 clinicians in this Medicare group
Severna Park, MD 21146
- Reassigned Medicare billing, Maryland enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tiarah Funderburk's NPI number?
The NPI number for Tiarah Funderburk is 1740870450. It was assigned to this individual provider in the NPPES registry on January 26, 2021.
Where is Tiarah Funderburk located?
Tiarah Funderburk practices at 5820 York Rd, Baltimore, MD 21212. The listed phone number is (301) 345-1022.
What is Tiarah Funderburk's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Tiarah Funderburk enrolled in Medicare?
Yes. Tiarah 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.
Which organizations bill Medicare for Tiarah Funderburk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiarah Funderburk reassigns Medicare benefits to 2 organizations: Safe Harbor Behavioral Care, LLC (Bel Air, MD) and Bay Area Counseling & Consultation, LLC (Severna Park, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiarah Funderburk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tiarah Funderburk was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tiarah Marie Funderburk, LMSW · NPI 1740870450
Social Worker provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since January 26, 2021.
## Identity
- **NPI:** 1740870450 (Entity type: Individual)
- **Enumerated:** January 26, 2021
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 26353 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5820 YORK RD, Baltimore, MD 21212-3610
- **Phone:** (301) 345-1022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Safe Harbor Behavioral Care, LLC (NPI 1316487879, Bel Air, MD); Bay Area Counseling & Consultation, LLC (NPI 1588207955, Severna Park, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1740870450) · Data from the CMS NPPES public registry.