JUSTIN GUNDERSON LCSW
NPI 1598036543
Social Worker - Clinical in Bradley, IL

Active since January 23, 2012
300 N KENNEDY DR, SUITE 8, BRADLEY, IL 60915(815) 929-2009(815) 929-1284 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Gunderson Lcsw NPPES

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

JUSTIN GUNDERSON LCSW (NPI 1598036543) is an individual clinical provider in Bradley, Illinois, licensed in Illinois (149-015053) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1598036543
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN GUNDERSONCredential: LCSW
Location Address300 N KENNEDY DR, SUITE 8Bradley, IL 60915-1559
Mailing Address300 N Kennedy Dr, Suite 8Bradley, IL 60915-1559 · (815) 929-2009 · Fax (815) 929-1284
Fax(815) 929-1284
Sole ProprietorYes
Enumeration DateJanuary 23, 2012
NPI 1598036543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149-015053
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
300 N KENNEDY DR, Bradley, IL 60915

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
300 N KENNEDY DR, SUITE 8
BRADLEY, IL 60915

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 Justin Gunderson's NPI number?

The NPI number for Justin Gunderson is 1598036543. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Justin Gunderson located?

Justin Gunderson practices at 300 N Kennedy Dr Suite 8, Bradley, IL 60915. The listed phone number is (815) 929-2009.

What is Justin Gunderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Justin Gunderson was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.