Individual provider Active NPI

Michelle Fitzpatrick

  • Clinical Social Worker
  • Bloomington, MN
National Provider Identifier
1407487879
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28616 Issued in MN
Practice address
3601 Minnesota Dr Ste 450
Bloomington, MN 55435-5214
Phone
(612) 250-7129
NPI assigned
Feb 3, 2020
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28616 MN Primary

Addresses

Primary practice location

3601 Minnesota Dr Ste 450
Bloomington, MN 55435-5214

Mailing address

9115 Old Cedar Ave S Apt 400
Bloomington, MN 55425-2383
Phone (612) 517-4490

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL michellefitzpatrick@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28616MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Expressions in Psychology, LLC CurrentSince Feb 9, 2020 Accepting new patients

Locations

7900 International Dr
Ste 300
Minneapolis, MN 55425
Phone (612) 314-8865

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1407487879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 OLD CEDAR AVE S APT 400",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252383",
            "telephone_number": "612-517-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 450",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355214",
            "telephone_number": "612-250-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michellefitzpatrick@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7900 International Dr Ste 300",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554252562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.