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SHANNON MARIE MCMULLIN LLMSW
NPI 1053054700
Social Worker in Grand Rapids, MI

Active since April 19, 2022
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 323-1102 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Nov 7, 2023, Apr 19, 2022 (3 updates tracked since 2022).

About Shannon Marie Mcmullin Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MARIE MCMULLIN LLMSW (NPI 1053054700) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6852092050) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1053054700
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON MARIE MCMULLINCredential: LLMSW
Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address3026 Byron Center Ave Sw Apt 1Wyoming, MI 49519-2456 · (616) 843-7475
Phone(616) 323-1102
Sole ProprietorYes
Enumeration DateApril 19, 2022
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1053054700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6852092050
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.
790 FULLER AVE NE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA DUARTE-MENENDEZ LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MISS JALISA SHAWTAE SMITH LLMSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MACKENZIE ERIN CLEGG
Behavior Analyst
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MRS. ALEITA A BROWN LLBSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 825-5412
ANNIKA KNOTT LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 724-6942
VIOLET RAMAGE
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (734) 493-2978
DAVID G MARSHALL LPC
Counselor (Professional)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
DAWN MARIE MACDONALD LLMSW
Social Worker
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Mcmullin's NPI number?

The NPI number for Shannon Mcmullin is 1053054700. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Shannon Mcmullin located?

Shannon Mcmullin practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 323-1102.

What is Shannon Mcmullin's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shannon Mcmullin was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.