Individual provider Active NPI

Nina Yashin, LCSW

  • Clinical Social Worker
  • Ardmore, PA
National Provider Identifier
1508402694
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019801 Issued in PA
Practice address
2638 E County Line Rd
Ardmore, PA 19003-2031
Phone
(516) 780-5257
NPI assigned
Nov 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW019801 PA Primary

Addresses

Primary practice location

2638 E County Line Rd
Ardmore, PA 19003-2031

Mailing address

2638 E County Line Rd
Ardmore, PA 19003-2031
Phone (516) 780-5257

Other practice location 1

22 Mystic Ln # 22B
Malvern, PA 19355-1942
Phone (516) 780-5257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW019801PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1508402694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 E COUNTY LINE RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032031",
            "telephone_number": "516-780-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 E COUNTY LINE RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032031",
            "telephone_number": "516-780-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Mystic Ln # 22B",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "PA",
            "postal_code": "193551942",
            "country_code": "US",
            "telephone_number": "516-780-5257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASHIN",
        "first_name": "NINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.