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

Mr. Michael H Pettis, LCSW

Individual provider Clinical Social Worker · NPI 1104036821

Mr. Michael H Pettis, LCSW is a Clinical Social Worker in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

499 Gloster Creek Vlg Ste D-1
Tupelo, MS 38801-4600
Phone: (662) 842-4651
Fax: (662) 842-7335
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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 C7971 (MS)

Record details

NPI number1104036821
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESMay 4, 2015
Mailing address499 Gloster Creek Vlg, Suite D-1, Tupelo, MS 38801-4600

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