Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Judy C Funk Lscw Clinical Social Work LLC

Organization Clinical Social Worker · NPI 1679889711

Judy C Funk Lscw Clinical Social Work LLC provides Clinical Social Worker services in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5103 SW Surf Scooter St
Lees Summit, MO 64082-4599 Not confirmed with CMS for 16 years — call before visiting
Phone: (816) 509-4211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 200903697 (MO)
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X · Licence 200903697 (MO)
Adult Care Home Facility Taxonomy 311ZA0620X · Licence 200903697 (MO)
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X · Licence 200903697 (MO)

Record details

NPI number1679889711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judy Funk — Owner · (913) 980-4975
NPI enumeratedAugust 26, 2010
Last updated in NPPESAugust 27, 2010
Mailing address10042 Knox Dr, Overland Park, KS 66212-5339

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