Individual provider · Type 1 NPI

Jennifer Dana Whaley Gundersen, LCSW, CASAC

Clinical Social Worker · Bohemia, NY

NPI number 1881831949 Active

Practice location

600 Johnson Ave Ste C13
Bohemia, NY 11716-2674

Fax (631) 315-1090

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X077561 (NY)
Clinical Social Worker Primary 1041C0700X079761-1 (NY)

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 1881831949

Jennifer Dana Whaley Gundersen, LCSW, CASAC's National Provider Identifier is 1881831949, issued on Jan 12, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bohemia, NY. The record was last updated on Apr 2, 2020.