Individual provider · Type 1 NPI

Justin Gunderson, LCSW

Clinical Social Worker · Bradley, IL

NPI number 1598036543 Active

Practice location

300 N Kennedy Dr, Suite 8
Bradley, IL 60915-1559

Call (815) 929-2009 Map

Fax (815) 929-1284

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149-015053 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1598036543

Justin Gunderson, LCSW's National Provider Identifier is 1598036543, issued on Jan 23, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bradley, IL. The record was last updated on Jan 23, 2012.