1. Home
  2. Directory
  3. Ohio
  4. Avon Lake
  5. Social Worker
  6. NPI Profile

KELLY MULQUEEN LISW
NPI 1124104914
Social Worker - Clinical in Avon Lake, OH

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
223 MILLER RD, AVON LAKE, OH 44012(440) 930-2002(440) 930-2085 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Mulqueen Lisw NPPES

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

KELLY MULQUEEN LISW (NPI 1124104914) is an individual clinical provider in Avon Lake, Ohio, licensed in Ohio (I9301) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1124104914
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY MULQUEENCredential: LISW
Location Address223 MILLER RDAvon Lake, OH 44012-1004
Mailing Address223 Miller RdAvon Lake, OH 44012-1004 · (440) 930-2002 · Fax (440) 930-2085
Phone(440) 930-2002
Fax(440) 930-2085
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124104914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I9301
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.
223 MILLER RD, Avon Lake, OH 44012
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedSW25563OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Mulqueen Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032160247
PECOS Enrollment IDI20050204000499
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
163 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

MR. JOHN HARVIS-BEY
Social Worker (Clinical)
223 MILLER RD
AVON LAKE, OH 44012
Lorain County (440) 742-1661
RACHEL MCCLURE LPCC-S
Counselor (Professional)
223 MILLER RD
AVON LAKE, OH 44012
Lorain County (330) 331-5800
SETH NIEDING LISW
Social Worker (Clinical)
223 MILLER RD
AVON LAKE, OH 44012
Lorain County (440) 930-2002
HAIDAR ALMHANA AND NIEDING LLC
Psychiatry & Neurology (Psychiatry)
223 MILLER RD
AVON LAKE, OH 44012
Lorain County (440) 930-2002
JENNIFER A THOMAS LPCC
Counselor (Mental Health)
223 MILLER RD, AVON LAKE
AVON LAKE, OH 44012
Lorain County (440) 610-1632
ELIZABETH MALDONADO PROKAY LPCC
Counselor (Professional)
223 MILLER RD
AVON LAKE, OH 44012
Lorain County (440) 930-2002
MRS. LEE ANN STROUSE R.N.
Counselor (Professional)
223 MILLER RD
AVON LAKE, OH 44012
Lorain County (440) 930-2002
JODY SMITH LPCC
Counselor
223 MILLER RD
AVON LAKE, OH 44012
Lorain County (440) 930-2002

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 Kelly Mulqueen's NPI number?

The NPI number for Kelly Mulqueen is 1124104914. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Kelly Mulqueen located?

Kelly Mulqueen practices at 223 Miller Rd, Avon Lake, OH 44012. The listed phone number is (440) 930-2002.

What is Kelly Mulqueen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Mulqueen enrolled in Medicare?

Yes. Kelly Mulqueen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Mulqueen accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Kelly Mulqueen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Mulqueen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.