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

Mrs. Michelle Lynne Pettijohn, LSCSW

Individual provider Clinical Social Worker · NPI 1619110301

Mrs. Michelle Lynne Pettijohn, LSCSW is a Clinical Social Worker in Mission, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2009

Practice location Address checks out

5960 Dearborn St Ste 1
Mission, KS 66202-3342
Phone: (913) 645-6652
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2213 (KS)

Record details

NPI number1619110301
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorYes
NPI enumeratedApril 11, 2009
Last updated in NPPESApril 11, 2009

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