MR. MICHAEL H PETTIS LCSW
NPI 1104036821
Social Worker - Clinical in Tupelo, MS

Active since May 23, 2007
499 GLOSTER CREEK VLG, SUITE D-1, TUPELO, MS 38801(662) 842-4651(662) 842-7335 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael H Pettis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL H PETTIS LCSW (NPI 1104036821) is an individual clinical provider in Tupelo, Mississippi, licensed in Mississippi (C7971) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1104036821
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL H PETTISCredential: LCSW
Location Address499 GLOSTER CREEK VLG, SUITE D-1Tupelo, MS 38801-4600
Mailing Address499 Gloster Creek Vlg, Suite D-1Tupelo, MS 38801-4600 · (662) 842-4651 · Fax (662) 842-7335
Fax(662) 842-7335
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 4, 2015
NPI 1104036821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MS · C7971
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

499 GLOSTER CREEK VLG, Tupelo, MS 38801

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
499 GLOSTER CREEK VLG, SUITE A1
TUPELO, MS 38801
Pediatrics
499 GLOSTER CREEK VLG, SUITE H-3
TUPELO, MS 38801
Nurse Practitioner (Family)
499 GLOSTER CREEK VLG, STE A2
TUPELO, MS 38801
Nurse Practitioner
499 GLOSTER CREEK VLG, SUITE D-1
TUPELO, MS 38801
Licensed Practical Nurse
499 GLOSTER CREEK VLG
TUPELO, MS 38801
Nurse Practitioner
499 GLOSTER CREEK VLG, SUITE A-2
TUPELO, MS 38801
Clinic/Center (Federally Qualified Health Center (FQHC))
499 GLOSTER CREEK VLG, SUITE D-1
TUPELO, MS 38801
Urology
499 GLOSTER CREEK VLG, SUITE A1
TUPELO, MS 38801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Pettis's NPI number?

The NPI number for Michael Pettis is 1104036821. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Michael Pettis located?

Michael Pettis practices at 499 Gloster Creek Vlg Suite D-1, Tupelo, MS 38801. The listed phone number is (662) 842-4651.

What is Michael Pettis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Michael Pettis was last updated on May 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.