Stephanie Gudmunsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7293-123 Issued in WI

Practice address

111 W Jackson St
Wisconsin Rapids, WI 54495-2702

Phone

(715) 421-8845

Fax

(715) 421-2266

NPI assigned

Oct 4, 2006

Last updated

Oct 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Wood

  dba BH Outpatient Services

  • Professional Counselor
  • Wisconsin Rapids, WI
  • NPI 1063638088
  Medicare reassignment NPD
• County of Wood

  dba BH CSP

  • Community/Behavioral Health Agency
  • Marshfield, WI
  • NPI 1528886165
  Authorized official Same address or phone
• County of Wood

  dba Norwood Health Center

  • Psychiatric Hospital
  • Marshfield, WI
  • NPI 1508840844
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1407941446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952702",
            "telephone_number": "715-421-8845",
            "fax_number": "715-421-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952702",
            "telephone_number": "715-421-8845",
            "fax_number": "715-421-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDMUNSEN",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7293-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40994900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Grubba
• Crystal Gruber, APNP
• Jason John Gruszynski, RPH
• Tessa Lee Gruszynski, APSW
• Michelle Guay
• Sheridan M Guix, LPC
• Jeannen M. Gulenchyn, LAT
• Michael C. Gulenchyn, LAT
• Holly Diane Gumz, LMT
• Amy Elizabeth Gunderson, LICENSED ATHLETIC TR

• Clinical Social Worker in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.