Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa R Petesch, LSCSW

Individual provider Community Health Worker · NPI 1063773505

Melissa R Petesch, LSCSW is a Community Health Worker in Clay Center, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2012
Specialties on file
2

Practice location Address checks out

805 5th St
Clay Center, KS 67432-2502
Phone: (785) 630-8556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 8648 (KS)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1063773505
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorYes
NPI enumeratedMay 31, 2012
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026