Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN GUNDERSON, LCSW
Active Sole ProprietorJUSTIN GUNDERSON, LCSW is a Clinical Social Worker healthcare provider located in BRADLEY, Illinois. NPI 1598036543 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BRADLEY, IL
Registration Details
- NPI Number
- 1598036543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2012 (14.538928396424 yrs)
- Last Updated
- Jan 23, 2012
- License
-
149-015053 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 N KENNEDY DRSUITE 8BRADLEY, IL, 609151559Browse IL providers · Browse ZIP 60915
- Phone
- 8159292009
- Fax
- 8159291284
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BRADLEY, IL
| Name | Credential | NPI |
|---|---|---|
| MISS ELIZABETH RIEGER | MS. LCSW | 1396068003 |
| MRS. PAULA RENEE DYKSTRA | LCSW | 1972859981 |
| MRS. DEBRA MARIE TAMEZ | LCSW | 1023500287 |
| ROGER HARTLINE | LCSW | 1821705229 |
| KATHLEEN MARY CONNELLY | — | 1609634344 |
| JACQUELINE CAROL LANE | — | 1497552566 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.