DAVID GUNDERSEN MSW
NPI 1235905415
Social Worker in Rutland, VT

Active since November 29, 2023PECOS EnrolledAccepts Medicare Assignment
78 S MAIN ST, RUTLAND, VT 05701(802) 417-9048 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Gundersen Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID GUNDERSEN MSW (NPI 1235905415) is an individual social worker in Rutland, Vermont and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235905415
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDAVID GUNDERSENCredential: MSW
Location Address78 S MAIN STRutland, VT 05701-4594
Mailing AddressPo Box 222Rutland, VT 05702-0222
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 29, 2023
Last NPPES UpdateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
✔ NPI 1235905415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
78 S MAIN ST, Rutland, VT 05701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Gundersen Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052885902
PECOS Enrollment IDI20260701004344
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Gundersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
78 S MAIN ST
Rutland, VT 05701
  • Reassigned Medicare billing, Vermont enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
78 S MAIN ST
RUTLAND, VT 05701
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Counselor (Mental Health)
78 S MAIN ST
RUTLAND, VT 05701
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Case Manager/Care Coordinator
78 S MAIN ST
RUTLAND, VT 05701
Counselor (Mental Health)
78 S MAIN ST
RUTLAND, VT 05701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Gundersen's NPI number?

The NPI number for David Gundersen is 1235905415. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Where is David Gundersen located?

David Gundersen practices at 78 S Main St, Rutland, VT 05701. The listed phone number is (802) 417-9048.

What is David Gundersen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is David Gundersen enrolled in Medicare?

Yes. David Gundersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for David Gundersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Gundersen reassigns Medicare benefits to Rutland Mental Health Services, Inc. (Rutland, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Gundersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Gundersen accept?

Health plans from Anthem Blue Cross and Blue Shield list David Gundersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Gundersen was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.