Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Mulqueen, LISW

Individual provider Clinical Social Worker · NPI 1124104914

Kelly Mulqueen, LISW is a Clinical Social Worker in Avon Lake, Ohio. Qualified in 1992, 34 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
34
Licensed in
OH
In the registry since
2006
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

223 Miller Rd
Avon Lake, OH 44012-1004
Phone: (440) 930-2002
Fax: (440) 930-2085
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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 I9301 (OH)

Record details

NPI number1124104914
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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