Individual provider · Type 1 NPI

Michelle M. Petz, LICSW

Clinical Social Worker · Shakopee, MN

NPI number 1992438774 Active

Practice location

200 4th Ave W
Shakopee, MN 55379-1220

Call (952) 496-8481 Map

Fax (952) 496-8535

Mailing address

1440 June Ave S
Golden Valley, MN 55416-3537

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19774 (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 1992438774

Michelle M. Petz, LICSW's National Provider Identifier is 1992438774, issued on Jul 8, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shakopee, MN. The record was last updated on Jan 14, 2026.