Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Michelle A Pettis-Tibbs, LCSW

Individual provider Clinical Social Worker · NPI 1912964776

MS. Michelle A Pettis-Tibbs, LCSW is a Clinical Social Worker in Salem, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
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

1970 Roanoke Blvd 4730-B Sussex Ct
Salem, VA 24153-6404
Phone: (540) 982-2463
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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 434-970-3400 (VA)

Record details

NPI number1912964776
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESApril 9, 2014

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