Individual provider · Type 1 NPI

Michelle Lee Gustafson, MSW, LICSW

Clinical Social Worker · Mpls, MN

NPI number 1700823952 Active

Practice location

Fairview University Hospital, 2450 Riverside Avenue South
Mpls, MN 55454

Mailing address

2450 Riverside Ave
Minneapolis, MN 55454-1450

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10595 (MN)

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 1700823952

Michelle Lee Gustafson, MSW, LICSW's National Provider Identifier is 1700823952, issued on May 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mpls, MN. The record was last updated on Jan 6, 2023.