Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE LEE GUSTAFSON, MSW, LICSW
Active Sole ProprietorMICHELLE LEE GUSTAFSON, MSW, LICSW is a Clinical Social Worker healthcare provider located in MPLS, Minnesota. NPI 1700823952 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MPLS, MN
Registration Details
- NPI Number
- 1700823952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2006 (20.195143356101 yrs)
- Last Updated
- Jan 6, 2023
- License
-
10595 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
FAIRVIEW UNIVERSITY HOSPITAL2450 RIVERSIDE AVENUE SOUTHMPLS, MN, 55454Browse MN providers · Browse ZIP 55454
- Phone
- 6122735640
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MPLS, MN
| Name | Credential | NPI |
|---|---|---|
| MS. NATALIE JO MCNALL | LICSW | 1215241229 |
| KARI LEWIS | LICSW | 1659747145 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.