Active NPI
Eun-Mi Shin
- Clinical Social Worker
- San Jose, CA
National Provider Identifier
1801369053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105679
- Practice address
- 1671 The Alameda Ste 306
San Jose, CA 95126-2222 - Phone
- (408) 239-4574
- NPI assigned
- Jan 9, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105679 | CA | Primary |
| Clinical Social Worker | 1041C0700X | LCSW136936 | CA | |
| Mental Health Counselor | 101YM0800X | |||
| School Social Worker | 1041S0200X |
Addresses
Primary practice location
1671 The Alameda Ste 306
San Jose, CA 95126-2222
Mailing address
1671 The Alameda Ste 306
San Jose, CA 95126-2222
Other practice location 1
1255 Kendall Rd
San Luis Obispo, CA 93401-8750
Phone (805) 781-3535
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1801369053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 THE ALAMEDA STE 306",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 THE ALAMEDA STE 306",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262222",
"telephone_number": "408-239-4574"
}
],
"practiceLocations": [
{
"address_1": "1255 Kendall Rd",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934018750",
"country_code": "US",
"telephone_number": "805-781-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIN",
"first_name": "EUN-MI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "105679",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW136936",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.