MRS. MICHELLE LYNNE PETTIJOHN L.S.C.S.W.
NPI 1619110301
Social Worker - Clinical in Mission, KS

Active since April 11, 2009
5960 DEARBORN ST STE 1, MISSION, KS 66202(913) 645-6652 Get Directions Write a Review

NPPES record last updated: April 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Michelle Lynne Pettijohn L.s.c.s.w. NPPES

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

MRS. MICHELLE LYNNE PETTIJOHN L.S.C.S.W. (NPI 1619110301) is an individual clinical provider in Mission, Kansas, licensed in Kansas (2213) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1619110301
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MICHELLE LYNNE PETTIJOHNCredential: L.S.C.S.W.
Location Address5960 DEARBORN ST STE 1Mission, KS 66202-3342
Mailing Address5960 Dearborn St Ste 1Mission, KS 66202-3342 · (913) 645-6652
Sole ProprietorYes
Enumeration DateApril 11, 2009
NPI 1619110301 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 KS · 2213
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.

5960 DEARBORN ST STE 1, Mission, KS 66202

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
5960 DEARBORN ST STE 1
MISSION, KS 66202

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 Michelle Pettijohn's NPI number?

The NPI number for Michelle Pettijohn is 1619110301. It was assigned to this individual provider in the NPPES registry on April 11, 2009.

Where is Michelle Pettijohn located?

Michelle Pettijohn practices at 5960 Dearborn St Ste 1, Mission, KS 66202. The listed phone number is (913) 645-6652.

What is Michelle Pettijohn'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 Michelle Pettijohn was last updated on April 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.