Individual provider · Type 1 NPI

Michelle Lynne Pettijohn, L.S.C.S.W.

Clinical Social Worker · Mission, KS

NPI number 1619110301 Active

Practice location

5960 Dearborn St Ste 1
Mission, KS 66202-3342

Call (913) 645-6652 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2213 (KS)

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 1619110301

Michelle Lynne Pettijohn, L.S.C.S.W.'s National Provider Identifier is 1619110301, issued on Apr 11, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mission, KS. The record was last updated on Apr 11, 2009.