Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Tatarelli-Mullins, LMSW, PSYD, LLP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588997639

Mrs. Kelly Tatarelli-Mullins, LMSW, PSYD, LLP is a Clinical Social Worker in Ann Arbor, Michigan. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2009
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3300 Washtenaw Ave Ste 260
Ann Arbor, MI 48104-4200
Phone: (734) 677-0200
Fax: (734) 677-3310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T364465261964 (MI)

Record details

NPI number1588997639
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , PSYD , LLP
Sole proprietorYes
NPI enumeratedSeptember 8, 2009
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 15, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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