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

Jennifer Dana Whaley Gundersen, LCSW, CASAC

Individual provider Clinical Social Worker · NPI 1881831949

Jennifer Dana Whaley Gundersen, LCSW, CASAC is a Clinical Social Worker in Bohemia, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

600 Johnson Ave Ste C13
Bohemia, NY 11716-2674
Phone: (631) 960-8575
Fax: (631) 315-1090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 079761-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 077561 (NY)

Record details

NPI number1881831949
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CASAC
Sole proprietorNo
NPI enumeratedJanuary 12, 2009
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

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