Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl Porter Funderburk, MSWCANNIDATE

Individual provider Case Management Agency · NPI 1821794496

Carl Porter Funderburk, MSWCANNIDATE is a Case Management Agency in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5310 E 31st St
Tulsa, OK 74135-5018
Phone: (918) 587-9471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1821794496
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWCANNIDATE
Sole proprietorYes
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 3, 2023

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