IndividualActive
Shannon Mcmullin, LLMSW
NPI 1053054700 · Social Worker · Grand Rapids, MI
Shannon Mcmullin, LLMSW is a Social Worker provider in Grand Rapids, MI (NPI 1053054700).
Provider details
- NPI number
- 1053054700
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6852092050 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
790 Fuller Ave Ne
Grand Rapids, MI 49503-1918
Phone: (616) 323-1102
Street-level locationGet directions
Mailing address
3026 Byron Center Ave Sw Apt 1
Wyoming, MI 49519-2456
Registry dates
- Enumerated
- 2022-04-19
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Frequently asked questions
- What is Shannon Mcmullin's NPI number?
- Shannon Mcmullin's National Provider Identifier (NPI) is 1053054700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Mcmullin's specialty?
- Shannon Mcmullin is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Mcmullin located?
- Shannon Mcmullin's practice location on file with NPPES is 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918.
- What is Shannon Mcmullin's phone number?
- The practice phone number listed in the NPPES registry for Shannon Mcmullin is (616) 323-1102.
- Is Shannon Mcmullin's NPI active?
- Yes — Shannon Mcmullin's NPI (1053054700) is active in the NPPES registry as of the last update on 2026-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.