Melissa Gedrose, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23035 Issued in MN

Practice address

225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146

Phone

(218) 531-1424

Fax

(218) 531-1420

NPI assigned

Jan 23, 2017

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

Enrolled in MN

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 1

Specialty

Clinical Social Worker

Education

University of North Dakota School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Walk Counseling IncGroup PAC ID 1759763725, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Walk Counseling Inc

  • Professional Counselor
  • Fergus Falls, MN
  • NPI 1962175943
  Medicare reassignment Care Compare group NPD Authorized official
• Solutions Counseling Services, Inc.

  dba Birchwood Therapeutic Services

  • Professional Counselor
  • Breckenridge, MN
  • NPI 1578614038

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1366989865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W LINCOLN AVE STE 104",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372146",
            "telephone_number": "218-531-1424",
            "fax_number": "218-531-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W LINCOLN AVE STE 104",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372146",
            "telephone_number": "218-531-1424",
            "fax_number": "218-531-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDROSE",
        "first_name": "MELISSA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2022-06-21",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleisha Ann Gardin
• Mattea Gardner
• Gary a Matthys MD PLC (Matthys Orthopaedic Center)
• David G Gaustad
• Carla Errolyn Gauwitz, L.P.N.
• Dawn Marie Gehrke
• Patricia Jane Gehrls
• Generations, Inc Counseling Associates
• Andre Genereux, M.D.
• Gettel Chiropractic, P.a.

• Clinical Social Worker in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.