Kjerstin Susan Nelson Gurda, MS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8424-123 Issued in WI

Practice address

700 Regent St Ste 300
Madison, WI 53715-2634

Phone

(608) 567-4465

NPI assigned

Aug 9, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Quest Counseling and Consultation Center, LLC

  • Mental Health Counselor
  • Madison, WI
  • NPI 1912499351
  NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1699320259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 DAHLEN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051339",
            "telephone_number": "414-305-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 REGENT ST STE 300",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152634",
            "telephone_number": "608-567-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURDA",
        "first_name": "KJERSTIN",
        "middle_name": "SUSAN NELSON",
        "credential": "MS, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8424-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Anne Gunderson
• Sarah Gunderson, MS, OTR/L
• Patricia Ann Gundlach, MSSW
• Traci L Gundlach, NP
• Elizabeth Coppoc Gunshor, M.S., CCC-SLP
• Gure Transportation LLC
• Anna Gurevich, CAPSW
• Kristen Marie Gurney, PHARM.D.
• Molly A Gurney, MD
• Laura Mae Guse

• Clinical Social Worker in Madison, WI
• Providers in Madison, 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 Aug 9, 2019; 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.