Mr. Michael H Pettis, LCSW

Mr. Michael H Pettis is a Clinical Social Worker provider (Social Worker) practicing in Tupelo, MS, registered in the NPPES registry with NPI 1104036821 since 2007. The credential LCSW stands for Licensed Clinical Social Worker.

✓ Active NPI ✓ Valid NPI checksum

NPI	1104036821
Entity type	Individual (Type 1)
Name	Mr. Michael H Pettis
Credential	LCSW
Sex	Male
Practice address	499 GLOSTER CREEK VLG, SUITE D-1, Tupelo, MS, 38801
Phone	6628424651
Fax	6628427335
Enumeration date	2007-05-23
Last updated in NPPES	2015-05-04

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
1041C0700X	Clinical Social Worker	Primary	C7971	MS

LCSW — Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Copy-ready billing details

Provider: Michael Pettis, LCSW
NPI: 1104036821
Taxonomy: 1041C0700X (Clinical Social Worker)
Address: 499 GLOSTER CREEK VLG, SUITE D-1, Tupelo, MS, 38801

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1407856958	Clarance Farmer	Individual	Urology Physician	Tupelo, MS
1881694347	Paul Farabaugh	Individual	Urology Physician	Tupelo, MS
1205836764	Jonathan Kalish	Individual	Urology Physician	Tupelo, MS
1013917103	Jon Posey	Individual	Urology Physician	Tupelo, MS
1992797161	William Milam	Individual	Urology Physician	Tupelo, MS
1437140415	Nikolas Carnathan	Individual	Occupational Therapist	Tupelo, MS
1407847478	Functional Therapy Center, Inc.	Organization	Occupational Therapist	Tupelo, MS
1730155227	Brian Friloux	Individual	Family Medicine Physician	Tupelo, MS

Verify this record

Cross-check NPI 1104036821 against the authoritative CMS record: view Mr. Michael H Pettis on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Michael Pettis?

Michael Pettis is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-04.