Provider Demographics
NPI:1578995759
Name:GUNNING, BELINDA (LCSW)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:GUNNING
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61701-1429
Mailing Address - Country:US
Mailing Address - Phone:888-924-3786
Mailing Address - Fax:618-251-6246
Practice Address - Street 1:337 E FERGUSON AVE
Practice Address - Street 2:
Practice Address - City:WOOD RIVER
Practice Address - State:IL
Practice Address - Zip Code:62095-2003
Practice Address - Country:US
Practice Address - Phone:618-251-4073
Practice Address - Fax:618-251-6246
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0110801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical