Individual provider · Type 1 NPI

Michael H. Pettis, LCSW

Clinical Social Worker · Tupelo, MS

NPI number 1104036821 Active

Practice location

499 Gloster Creek Vlg, Suite D-1
Tupelo, MS 38801-4600

Fax (662) 842-7335

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC7971 (MS)

Clinical Social Worker: 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 interpers…

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About NPI 1104036821

Michael H. Pettis, LCSW's National Provider Identifier is 1104036821, issued on May 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tupelo, MS. The record was last updated on May 4, 2015.