MELISSA ANNE GUNDERSON (LCSW, LICSW) – Clinical Social Worker, NPI 1174976484
Clinical Social Worker
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,310 CLINICAL SOCIAL WORKER in MN
Provider Addresses for MELISSA ANNE GUNDERSON (LCSW, LICSW)
305 9th St
Windom, MN 561011658
Phone: (605) 210-6282
Type: Location
1908 S Austin Dr
Sioux Falls, SD 571050109
Phone: (605) 210-6282
Fax: (605) 309-7963
Type: Location
1210, 5th Avenue, Worthington, Nobles County, Minnesota, 56187, United States
WORTHINGTON, MN 561872432
Phone: (507) 376-4141
Fax: (507) 376-4494
Type: Location
100 S SPRING AVE STE 160
SIOUX FALLS, SD 571043634
Phone: (605) 210-6282
Fax: (605) 309-7963
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161014001006 | I | Clinical Social Worker | MN | TBD |
| I20221117003476 | I | Clinical Social Worker | SD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56101)
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