Individual provider Active NPI

Kirsten Gunnarson, MSW, APSW

  • Clinical Social Worker
  • Rice Lake, WI
National Provider Identifier
1639063928
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
135487-121 Issued in WI
Practice address
138 N Main St Ste 230
Rice Lake, WI 54868-1774
Phone
(715) 246-4840
Fax
(715) 254-9459
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 135487-121 WI Primary

Addresses

Primary practice location

138 N Main St Ste 230
Rice Lake, WI 54868-1774

Mailing address

954 30TH St
Chetek, WI 54728-8031
Phone (608) 399-4643

Other practice location 1

1120 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone (715) 246-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
135487-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Associates, LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

1120 Oak Ridge Dr
Eau Claire, WI 54701
Phone (715) 834-8414

138 N Main St
Ste 230
Rice Lake, WI 54868
Phone (715) 246-4820

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1639063928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 30TH ST",
            "city": "CHETEK",
            "state": "WI",
            "postal_code": "547288031",
            "telephone_number": "608-399-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N MAIN ST STE 230",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681774",
            "telephone_number": "715-246-4840",
            "fax_number": "715-254-9459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Oak Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016133",
            "country_code": "US",
            "telephone_number": "715-246-4840",
            "fax_number": "715-254-9459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNNARSON",
        "first_name": "KIRSTEN",
        "credential": "MSW, APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "135487-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.