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Miss Shannon M Mullett, LMSW,CAADC
Addiction (Substance Use Disorder) Counselor in Grand Rapids, Michigan
NPI 1093018145

Shannon M Mullett is an Addiction (Substance Use Disorder) Counselor based in Grand Rapids, MI and is specialized in Addiction (Substance Use Disorder). Shannon M Mullett practices in Grand Rapids, MI and has the professional credentials of LMSW,CAADC. The NPI Number for Shannon M Mullett is 1093018145 and holds a License No. 6801090829 (Michigan).

The current practice location address for Shannon M Mullett is 790 Fuller Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-855-8950.

Location: 790 Fuller Ave Ne, Grand Rapids, MI, 49503-1918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093018145
Provider Name
Shannon M Mullett
Credential
LMSW,CAADC
Provider Entity Type
Individual
Gender
Female
Address
790 Fuller Ave Ne, Grand Rapids, MI, 49503-1918
Phone Number
616-855-8950
Fax Number
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0D16159 01 MI MEDICARE GROUP #
38 2831313 01 MI TAX ID #
institution
Provider Business Practice Location Address Details
Address
790 Fuller Ave Ne
City
Grand Rapids
State
Michigan
Zip
49503-1918
Phone Number
616-855-8950
Fax Number
person
Provider Business Mailing Address Details
Address
790 Fuller Ave Ne
City
Grand Rapids
State
Michigan
Zip
49503-1918
Phone Number
616-855-8950
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C-03118 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
6801090829 (Michigan)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
6801090829 (Michigan)
Definition
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.
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