MELISSA GEDROSE (NPI# 1366989865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366989865 |
| Entity Type | Individual |
| Full Name | MELISSA GEDROSE |
| Credential | LICSW |
| Practice Address |
211 Holmes St W Detroit Lakes MN 56501-9902 |
| Practice Telephone | 2188470629 |
| Practice Fax Number | 2188461285 |
| Mailing Telephone | 2188470629 |
| Mailing Fax Number | 2188461285 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
23035 | MN | Behavioral Health & Social Service Providers |
| Street Address |
211 HOLMES ST W |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-9902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821187915 | Jan Renae Haugrud | Social Worker | 211 Holmes St W, Detroit Lakes, MN 56501-3023 | 2006-10-12 |
| 1144503061 | Sarah Kristen Schroeder | Social Worker | 211 Holmes St W, Suite 302, Detroit Lakes, MN 56501-3023 | 2011-09-27 |
| 1295928240 | Lutheran Social Service of Minnesota | Case Management | 211 Holmes St W, Detroit Lakes, MN 56501-3023 | 2007-08-23 |
| 1568685055 | Michael Edgar Ferber | Psychologist | 211 Holmes St W, Suite 203, Detroit Lakes, MN 56501-3023 | 2007-04-11 |
| 1700968088 | Lutheran Social Service of Minnesota | Social Worker | 211 Holmes St W, Detroit Lakes, MN 56501-3023 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821187915 | Jan Renae Haugrud | Social Worker | 211 Holmes St W, Detroit Lakes, MN 56501-3023 | 2006-10-12 |
| 1811520273 | Jennifer Wendlandt | Social Worker | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2020-02-13 |
| 1548714876 | Bobi Lyn Spaeth | Social Worker | 1027 Washington Avenue, Detroit Lakes, MN 56501-3409 | 2016-08-03 |
| 1346669678 | Renee Ann Fasteen | Social Worker | 1339 Pelican Ln, Detroit Lakes, MN 56501-2726 | 2014-04-15 |
| 1164753265 | Life Choices Counseling | Social Worker | 900 Highway 34 E, Suite B102, Detroit Lakes, MN 56501-2643 | 2010-01-29 |
| 1700968088 | Lutheran Social Service of Minnesota | Social Worker | 211 Holmes St W, Detroit Lakes, MN 56501-3023 | 2006-10-19 |
| 1578505582 | Courtney M. Rooney | Social Worker | 714 Washington Ave, Detroit Lakes, MN 56501-3012 | 2006-06-12 |
| 1124065529 | Karen Velaski Schmit | Social Worker | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255121 | Trizer Smith | Social Worker | 33 Wentworth Ave E Ste 280, West Saint Paul, MN 55118-3432 | 2020-11-06 |
| 1003417262 | Wellness Within Holistic Psychotherapy, Pa | Social Worker | 3960 Saari Rd, Hibbing, MN 55746-8280 | 2020-11-04 |
| 1376144808 | Brianna Heilman | Social Worker | 38431 Lincoln Trl, North Branch, MN 55056-5834 | 2020-11-02 |
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1922608322 | Kari Ann Steele | Social Worker | 419 6th Ave S, Sartell, MN 56377-2020 | 2020-10-27 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1003415969 | Kaitlin Burke | Social Worker | 4016 Willow Rd N, Brooklyn Park, MN 55443-1240 | 2020-10-21 |
| 1366041378 | Jeanette Jean Foizie | Social Worker | 11109 127th St Se, Clear Lake, MN 55319-9491 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.