JAIME GUNDERSON LCSW, CSAC
NPI 1164955878
Social Worker in Mayville, WI

Active since April 10, 2017PECOS Enrolled
1446 HORICON ST, MAYVILLE, WI 53050(920) 539-0219 Get Directions Write a Review

NPPES record last updated: October 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2022, Aug 2, 2021, Apr 10, 2017 (3 updates tracked since 2017).

About Jaime Gunderson Lcsw, Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAIME GUNDERSON LCSW, CSAC (NPI 1164955878) is an individual social worker in Mayville, Wisconsin, licensed in Wisconsin (131568-121) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164955878
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJAIME GUNDERSONCredential: LCSW, CSAC
Location Address1446 HORICON STMayville, WI 53050-1467
Mailing Address710 N Milwaukee StTheresa, WI 53091-9716 · (920) 539-0219
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2017
Last NPPES UpdateOctober 23, 20223 updates tracked since enumeration
NPPES CertifiedOctober 23, 2022
NPI 1164955878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in WI · 131568-121
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16566-132 (WI)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 9826-123 (WI)
1446 HORICON ST, Mayville, WI 53050

Other Identifiers 1

Medicaid1164955878WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jaime Gunderson Lcsw, Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092109652
PECOS Enrollment IDI20220224000317
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1446 HORICON ST
MAYVILLE, WI 53050
Social Worker
1446 HORICON ST
MAYVILLE, WI 53050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaime Gunderson's NPI number?

The NPI number for Jaime Gunderson is 1164955878. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Jaime Gunderson located?

Jaime Gunderson practices at 1446 Horicon St, Mayville, WI 53050. The listed phone number is (920) 539-0219.

What is Jaime Gunderson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jaime Gunderson enrolled in Medicare?

Yes. Jaime Gunderson is registered in the Medicare PECOS enrollment system.

What insurance does Jaime Gunderson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, HealthPartners and Medica and 4 other insurers list Jaime Gunderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaime Gunderson was last updated on October 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.