Active NPI
Heejin Shinn, LCSW
- Clinical Social Worker
- Glendora, CA
National Provider Identifier
1669709754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 98930
- Practice address
- 255 S Glendora Ave
Glendora, CA 91740-7222 - Phone
- (818) 383-7177
- NPI assigned
- Nov 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 98930 | CA | Primary |
Addresses
Primary practice location
255 S Glendora Ave
Glendora, CA 91740-7222
Mailing address
PO Box 912
Glendora, CA 91740-0912
Phone (818) 383-7177
Other names 1
- Heejin Shinn
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
| License | State | Type | Specialty |
|---|---|---|---|
| 98930 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1669709754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 912",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917400912",
"telephone_number": "818-383-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S GLENDORA AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917407222",
"telephone_number": "818-383-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINN",
"first_name": "HEEJIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "98930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEEJIN",
"last_name": "SHINN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.