MISS SHANNON M MULLETT LMSW, CAADC
NPI 1093018145
Social Worker - Clinical in Grand Rapids, MI
NPI Status: Active since December 13, 2010
Contact Information
790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 855-8950
- Individual
- Female
- Social Worker
- Clinical
About SHANNON MULLETT
This page provides the complete NPI Profile along with additional information for Shannon Mullett, a provider established in Grand Rapids, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1093018145 assigned on December 2010. The practitioner's primary taxonomy code is 1041C0700X with license number 6801090829 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1093018145
- Provider Name
- MISS SHANNON M MULLETT LMSW, CAADC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 790 FULLER AVE NE GRAND RAPIDS, MI 49503
- Location Phone
- (616) 855-8950
- Mailing Address
- 790 FULLER AVE NE GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 855-8950
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-13-2010
- Last Update Date
- 12-19-2016
- Code Navigator
A clinical social worker like Shannon Mullett is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6801090829
- License State
- MI
- Taxonomy Description
- 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | C-03118 (MI) |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 6801090829 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0D16159 | OTHER (01) | MI | MEDICARE GROUP # |
| 38 2831313 | OTHER (01) | MI | TAX ID # |
Reviews for MISS SHANNON M MULLETT LMSW, CAADC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 0 | 1 | 8 | 1 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 0 | 1 | 16 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 0 + 1 + 1 + 6 + 1 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1093018145 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871772426 | ERIN MAY MA LLP LPC CAADC Individual | Psychologist (Counseling) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1649501503 | MRS. VELESSAUNIA BRIDGES-WILSON MSC, LLPC Individual | Counselor (Mental Health) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1831582576 | DENNIS DOWLING LPC Individual | Counselor (Professional) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1760875389 | JANNA DAWDY RN Individual | Registered Nurse (Psychiatric/Mental Health) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1922070143 | SUSAN K STAUFFER LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 862-4004 |
| 1679965594 | STEPHANIE DODDE Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1649663196 | DIANA JACKSON-WHITFIELD MA/LBSW Individual | Social Worker | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1396138566 | MARLEAH BEVELACQUA LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-5140 |
| 1790178960 | DARRYL S WEEKLEY LMSW, ACSW, CAADC Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-8131 |
| 1568855633 | MRS. EMILY JANE-TAYLOR BAILEY MSW, LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1023116324 | DAVID G MARSHALL LPC Individual | Counselor (Professional) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1386038479 | SARAH ELIZABETH BENJAMIN LMSW Individual | Community/Behavioral Health | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1497141741 | JAMES EDWARD ASH LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 632-5863 |
| 1508253105 | MRS. LAURA GUYTON LLPC Individual | Counselor (Professional) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1033506647 | MR. FREDERIC GEORGE HULCE MSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1528447018 | ELBIN ABEN-ALDE ORELLANA MA, LLP Individual | Psychologist | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-5243 |
| 1548641319 | CARLY PETROELJE Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1184937039 | KRISTIN LEIGH SPYKERMAN LMSW, CAADC Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3765 |
| 1174070783 | NICOLE BROWETT Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-5128 |
| 1689115834 | ANTONELLA GAGLIO LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093018145, enumerated in the NPI registry as an "individual" on December 13, 2010
The provider is located at 790 Fuller Ave Ne Grand Rapids, Mi 49503 and the phone number is (616) 855-8950
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 13, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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