Jaime Gunderson, LCSW, CSAC
Jaime Gunderson, LCSW, CSAC is a Clinical Social Worker in Mayville, Wisconsin. Qualified in 2019, 7 years ago. Practices with Kettle Moraine Counseling LLC, a 20-clinician group. Licensed in Wisconsin.
- Years since qualifying
- 7
- Licensed in
- WI
- In the registry since
- 2017
- Specialties on file
- 3
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
1446 Horicon StMayville, WI 53050-1467
Phone: (920) 539-0219
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 131568-121 (WI) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 9826-123 (WI) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 16566-132 (WI) |
Record details
| NPI number | 1164955878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW , CSAC |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2017 |
| Last updated in NPPES | October 23, 2022 |
| Certification date | October 23, 2022 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Kettle Moraine Counseling Llc — 20 clinicians |
| Accepts Medicare assignment | Not indicated |