Fatima Funderburk, LCSWA
NPI 1639703804 · Clinical Social Worker · Raleigh, NC
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fatima Funderburk, LCSWA is a Clinical Social Worker provider in Raleigh, NC (NPI 1639703804).
Provider details
- NPI number
- 1639703804
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- Yes
- License
- C018940 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2231 E Millbrook Rd Ste 101Raleigh, NC 27604-1746Phone: (919) 307-8165
Registry dates
- Enumerated
- 2020-02-26
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Fatima Funderburk's NPI number?
- Fatima Funderburk's National Provider Identifier (NPI) is 1639703804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fatima Funderburk's specialty?
- Fatima Funderburk is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Fatima Funderburk located?
- Fatima Funderburk's practice location on file with NPPES is 2411 Tony Tank Ln Apt 301, Raleigh, NC 27613-3860.
- What is Fatima Funderburk's phone number?
- The practice phone number listed in the NPPES registry for Fatima Funderburk is (336) 934-2327.
- Does Fatima Funderburk accept Medicare?
- Fatima Funderburk is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fatima Funderburk's NPI active?
- Yes — Fatima Funderburk's NPI (1639703804) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.