Individual provider Active NPI

Melissa Anne Gunderson, LCSW, LICSW

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1174976484
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6093 Issued in SD
Practice address
100 S Spring Ave Ste 160
Sioux Falls, SD 57104-3634
Phone
(605) 210-6282
Fax
(605) 309-7963
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22979 MN
Clinical Social Worker 1041C0700X 6093 SD Primary

Addresses

Primary practice location

100 S Spring Ave Ste 160
Sioux Falls, SD 57104-3634

Mailing address

100 S Spring Ave Ste 160
Sioux Falls, SD 57104-3634
Phone (605) 210-6282

Other practice location 1

305 9th St
Windom, MN 56101-1658
Phone (605) 210-6282

Other practice location 2

1908 S Austin Dr
Sioux Falls, SD 57105-0109
Phone (605) 210-6282

Other identifiers 2

IdentifierTypeStateIssuer
22979OtherMNCLINICAL LICENSE
6093OtherSDCLINICAL LICENSE

Other names 1

  • Melissa Buus Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@ironstring.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161014001006 MN Practitioner - Clinical Social Worker 1759679368 Practice locations: Windom, MN
I20221117003476 SD Practitioner - Clinical Social Worker 1759679368 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 S Spring Ave
Sioux Falls, SD 57104-3634
Phone (605) 210-6282

307 9TH St
Windom, MN 56101-1658
Phone (605) 210-6282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22979MNMDClinical Social Worker
6093SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transcend, LLC Clinical CurrentSince Apr 21, 2024 Accepting new patients
Hedman Chiropractic Center LLC Past Accepting new patients

Locations

100 S Spring Ave
Ste 160
Sioux Falls, SD 57104
Phone (605) 210-6282

Organizations & group practices 2

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1174976484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SPRING AVE STE 160",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571043634",
            "telephone_number": "605-210-6282",
            "fax_number": "605-309-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SPRING AVE STE 160",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571043634",
            "telephone_number": "605-210-6282",
            "fax_number": "605-309-7963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 9th St",
            "address_purpose": "LOCATION",
            "city": "Windom",
            "state": "MN",
            "postal_code": "561011658",
            "country_code": "US",
            "telephone_number": "605-210-6282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 S Austin Dr",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571050109",
            "country_code": "US",
            "telephone_number": "605-210-6282",
            "fax_number": "605-309-7963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22979",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE",
            "identifier": "22979",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE",
            "identifier": "6093",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@ironstring.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 S Spring Ave Ste 160",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571043634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BUUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.