Doctor profile · Federal record

Dr. Kelly Mulqueen, LISW

Clinical Social Worker · Avon Lake, OH

  • NPI 1124104914
  • Accepts Medicare
  • 34 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
223 Miller RD
Avon Lake, OH 440121004
(440) 930-2002
fax (440) 930-2085

Credentials & registration

NPPES · NUCC
NPI registered
October 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Year of graduation
1992 — 34 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State license (1)
Ohio #I9301

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124104914. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
268
Distinct HCPCS
2
Medicare allowed
$27,960
HCPCS Description Services Patients Avg allowed
90837 Psychotherapy, 1 hour 253 24 $103
90791 Psychiatric diagnostic evaluation 15 15 $126

In context: peer comparison

Among 1 peers in this city , average services per provider: 134. This provider delivers 2.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kelly Mulqueen's medical specialty?
Dr. Kelly Mulqueen practices Clinical Social Worker in Avon Lake, OH.
Where does Dr. Kelly Mulqueen practice?
Dr. Kelly Mulqueen practices at 223 Miller RD, Avon Lake, OH 440121004. Office phone: 4409302002.
What is Dr. Kelly Mulqueen's NPI?
Dr. Kelly Mulqueen's National Provider Identifier (NPI) is 1124104914, issued by NPPES.
Does Dr. Kelly Mulqueen accept Medicare assignment?
Yes. Dr. Kelly Mulqueen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Mulqueen commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.