Individual provider · Type 1 NPI

Shannon M. Mullett, LMSW, CAADC

Clinical Social Worker · Grand Rapids, MI

NPI number 1093018145 Active

Practice location

790 Fuller Ave NE
Grand Rapids, MI 49503-1918

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	6801090829 (MI)
Clinical Social Worker Primary	1041C0700X	6801090829 (MI)
Addiction (Substance Use Disorder) Counselor	101YA0400X	C-03118 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1093018145

Shannon M. Mullett, LMSW, CAADC's National Provider Identifier is 1093018145, issued on Dec 13, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 19, 2016.