Individual provider · Type 1 NPI

Michelle Rene Petz, LCSW

Clinical Social Worker · Fremont, MI

NPI number 1275163776 Active

Practice location

25 W Main St Ste B
Fremont, MI 49412-1186

Mailing address

6333 S Bingham Ave
Newaygo, MI 49337-9731

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801089682 (MI)

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 1275163776

Michelle Rene Petz, LCSW's National Provider Identifier is 1275163776, issued on Jan 23, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fremont, MI. The record was last updated on Jan 23, 2020.