Michelle Lee Gustafson, MSW, LICSW
Michelle Lee Gustafson, MSW, LICSW is a Clinical Social Worker in Mpls, Minnesota. Qualified in 1993, 33 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 33
- Licensed in
- MN
- In the registry since
- 2006
What do these letters mean?
Practice location Partly verified
Fairview University Hospital 2450 Riverside Ave SMpls, MN 55454
Phone: (612) 273-5640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 10595 (MN) |
|---|
Record details
| NPI number | 1700823952 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSW , LICSW |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2006 |
| Last updated in NPPES | January 6, 2023 |
| Certification date | January 6, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1993 (33 years in practice) |
| Group practice | Fairview Express Care — 1964 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mpls
-
Kari Lewis, LICSW
932 E 34th St, Mpls, MN 55407 · (612) 204-8250
-
MS. Natalie Jo McNall, LICSW
2450 Riverside Ave So #NGIS University OF Mn-Fairview, Mpls, MN 55454 · (612) 273-5812