Shih Shin Wu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW89138 Issued in CA

Practice address

405 Kains Ave Ste 107
Albany, CA 94706-1259

Phone

(917) 209-3487

NPI assigned

Jul 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Shih Shin Suzie Wu Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 15, 2023 through Aug 15, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1033317409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SAN CARLOS AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061435",
            "telephone_number": "917-209-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 KAINS AVE STE 107",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061259",
            "telephone_number": "917-209-3487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Canal St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100133599",
            "country_code": "US",
            "telephone_number": "212-379-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "SHIH SHIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "5552683",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIH SHIN",
            "last_name": "WU",
            "middle_name": "SUZIE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sita Shijie Sweet Wong, DPT
• William Wah Wong, PHARM, D
• Wonjoo Lee Dental Corp.
• Christina N Woo
• Patrick Wu, MD, PHD
• Kayoko Yokoyama, PH.D.
• Michael Peter Young, DDS
• James Yu
• Karen Yu, LMFT
• Yung-En Perng

• Clinical Social Worker in Albany, CA
• Providers in Albany, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.