Yebin Shiny Park, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

124021 Issued in NY

Practice address

1182 Broadway # 3a
New York, NY 10001-5403

Phone

(413) 340-1308

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

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)

Not enrolled

Practice roles

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

• Relational Wellness Psychology, PLLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1174448765
  NPD (past)

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1629974704",
    "addresses": [
        {
            "country_code": "IN",
            "country_name": "India",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "FLAT 901, IRIS HIRANANDANI MEADOWS",
            "address_2": "GLAYDS ALWARES RD",
            "city": "THANE",
            "state": "MAHARASHTRA",
            "postal_code": "400610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 BROADWAY # 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015403",
            "telephone_number": "413-340-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YEBIN",
        "middle_name": "SHINY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "124021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Park, M.D.
• Tyler David Park, MD
• V Park, PHARM.D.
• Victoria Jeong Park, DDS
• Wungki Park, M.D.
• Yeon Su Park
• Yoo Jin Park
• Yookyung Andrea Park, O.D.
• You Jin Park
• Youngmin Park

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.