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MICHELLE LEE GUSTAFSON MSW, LICSW
NPI 1700823952
Social Worker - Clinical in Mpls, MN

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
FAIRVIEW UNIVERSITY HOSPITAL, 2450 RIVERSIDE AVENUE SOUTH, MPLS, MN 55454(612) 273-5640 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Lee Gustafson Msw, Licsw NPPES

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

MICHELLE LEE GUSTAFSON MSW, LICSW (NPI 1700823952) is an individual clinical provider in Mpls, Minnesota, licensed in Minnesota (10595) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1700823952
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE LEE GUSTAFSONCredential: MSW, LICSW
Location AddressFAIRVIEW UNIVERSITY HOSPITAL, 2450 RIVERSIDE AVENUE SOUTHMpls, MN 55454
Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 672-4103
Phone(612) 273-5640
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMay 31, 2006
Last NPPES UpdateJanuary 6, 2023
NPPES CertifiedJanuary 6, 2023
✔ NPI 1700823952 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 MN · 10595
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.
FAIRVIEW UNIVERSITY HOSPITAL, Mpls, MN 55454
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Lee Gustafson Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385948108
PECOS Enrollment IDI20160215001453
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gustafson's NPI number?

The NPI number for Michelle Gustafson is 1700823952. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Michelle Gustafson located?

Michelle Gustafson practices at Fairview University Hospital 2450 Riverside Avenue South, Mpls, MN 55454. The listed phone number is (612) 273-5640.

What is Michelle Gustafson's specialty?

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

Is Michelle Gustafson enrolled in Medicare?

Yes. Michelle Gustafson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Gustafson was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.