Melody Lynn Gorden, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23305 Issued in MN

Practice address

112 1St St W
Bemidji, MN 56601-4002

Phone

(218) 888-8032

Fax

(218) 888-8033

NPI assigned

Apr 9, 2018

Last updated

Dec 17, 2025By the provider in NPPES

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  Medicare reassignment Care Compare group NPD
• Thrive Behavioral Network III, LLC

  dba Milestones

  • Mental Illness Community Based Residential Treatment Facility
  • Alexandria, MN
  • NPI 1386861524
  NPD (past)
• Thrive Behavioral Network III, LLC

  dba Milestones

  • Mental Illness Community Based Residential Treatment Facility
  • Alexandria, MN
  • NPI 1457578692
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1750888475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015113",
            "telephone_number": "218-755-6360",
            "fax_number": "218-755-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 1ST ST W",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014002",
            "telephone_number": "218-888-8032",
            "fax_number": "218-888-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Elm St N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581022498",
            "country_code": "US",
            "telephone_number": "800-410-9723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDEN",
        "first_name": "MELODY",
        "middle_name": "LYNN",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wayne Glessing
• Christopher J. Godding, LICSW
• Mandy S Goh
• Alexandra Beatriz Gonzalez Juarrero
• Tiara Rae Goodwin, RN
• Abigayle Gorski
• GPH Beltrami Inc (GoldPine Home)
• GPH Bemidji, Inc (Goldpine Home)
• Holly A Graber, PTA
• John Alexander Eric Graham, PSYCHOLOGIST

• Clinical Social Worker in Bemidji, MN
• Providers in Bemidji, 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 Dec 17, 2025; 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.