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

Mr. Robert Clinton Funk II, LICSW

Individual provider Clinical Social Worker · NPI 1801358478

Mr. Robert Clinton Funk II, LICSW is a Clinical Social Worker in Fairmont, West Virginia. Qualified in 2019, 7 years ago. Practices with Appalachian Counseling Center LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
7
Licensed in
WV
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

207 Fairmont Ave
Fairmont, WV 26554-2710
Phone: (304) 698-1877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22221 Westernport Rd Sw, Westernport, MD 21562-2206 — (240) 774-0204

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence DP00945812 (WV)

Record details

NPI number1801358478
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 3, 2019
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Appalachian Counseling Center Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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