Provider Demographics
NPI:1639063928
Name:GUNNARSON, KIRSTEN (MSW, APSW)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:GUNNARSON
Suffix:
Gender:F
Credentials:MSW, APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 30TH ST
Mailing Address - Street 2:
Mailing Address - City:CHETEK
Mailing Address - State:WI
Mailing Address - Zip Code:54728-8031
Mailing Address - Country:US
Mailing Address - Phone:608-399-4643
Mailing Address - Fax:
Practice Address - Street 1:138 N MAIN ST STE 230
Practice Address - Street 2:
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-1774
Practice Address - Country:US
Practice Address - Phone:715-246-4840
Practice Address - Fax:715-254-9459
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135487-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical