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

Miss. Shannon M Mullett, LMSW, CAADC

Individual provider Social Worker · NPI 1093018145

Miss. Shannon M Mullett, LMSW, CAADC is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2004, 22 years ago. Practices with Kent County Cmh Authority, a 59-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2010
Specialties on file
3
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 855-8950
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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 6801090829 (MI)
Social Worker Taxonomy 104100000X · Licence 6801090829 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C-03118 (MI)

Record details

NPI number1093018145
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , CAADC
Sole proprietorYes
NPI enumeratedDecember 13, 2010
Last updated in NPPESDecember 19, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Kent County Cmh Authority — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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