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

Individual provider Clinical Social Worker · NPI 1992438774

Michelle M Petz, LICSW is a Clinical Social Worker in Shakopee, Minnesota. Qualified in 2009, 17 years ago. Practices with County of Scott, an 11-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

200 4th Ave W
Shakopee, MN 55379-1220
Phone: (952) 496-8481
Fax: (952) 496-8535
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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 19774 (MN)

Record details

NPI number1992438774
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 8, 2022
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice County Of Scott — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shakopee