Caryn Michelle Moore Shinaba, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081611 Issued in NY

Practice address

30 W 141St St Apt 3D
New York, NY 10037-1305

Phone

(773) 633-3112

NPI assigned

Jun 13, 2018

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

Opted out of Medicare

Yes, effective Feb 6, 2024 through Feb 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1699268607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 141ST ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371305",
            "telephone_number": "773-633-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 141ST ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371305",
            "telephone_number": "773-633-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE SHINABA",
        "first_name": "CARYN",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moonlight Pediatrics of Nyc, P.C.
• Moor Health Limited
• John Mooradian, AGNP-C
• Moore Mental Health Counseling Services, PLLC. (Theramoore)
• Moore Mindful Solutions LLC
• Sarah Elizabeth Moore-Barreto, LMHC
• Shana Chere Moore-Pierre, MA, MPH
• Adelia Moore, PH.D.
• Alexandra Moore
• Alice Carole Moore, M H COUNSELOR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.