Hyunsu Shin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005911 Issued in GA

Practice address

6185 Buford Hwy
Building G
Peachtree Corners, GA 30071-2350

Phone

(770) 446-0929

Fax

(770) 446-6977

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monarch Immigrant Services

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1942270863

  Clinical

  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1477809101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY",
            "address_2": "BUILDING G",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300712350",
            "telephone_number": "770-446-0929",
            "fax_number": "770-446-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 BUFORD HWY",
            "address_2": "BUILDING G",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300712350",
            "telephone_number": "770-446-0929",
            "fax_number": "770-446-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HYUNSU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Robert Sellars, D.O.
• Yassmin Shariff, DO
• Yuki Shida, LMFT
• Shieh ABA, LLC
• Young Rae Shim, PH. D.
• Michael Yong Shin, D.P.T
• Shorna Lee Yanique Shirley
• Patricia Ann Shively, MD
• Benjamin Shivers, DC
• Sydney Siegel, DPT

• Clinical Social Worker in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.