Candice Shin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017396 Issued in VA

Practice address

511 Walnut Ave
Colonial Heights, VA 23834-2835

Phone

(804) 601-8553

Fax

(804) 979-0373

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Candice Shin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• C & Z Creative Zen, LLC

  • Community/Behavioral Health Agency
  • Colonial Heights, VA
  • NPI 1184413064

  Mental Health

  NPD Authorized official
• Mindful Solution Services

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
  • NPI 1760201057

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1831790229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 HULL STREET RD STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355834",
            "telephone_number": "804-601-8553",
            "fax_number": "804-979-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WALNUT AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342835",
            "telephone_number": "804-601-8553",
            "fax_number": "804-979-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Walthall Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "South Chesterfield",
            "state": "VA",
            "postal_code": "238346848",
            "country_code": "US",
            "telephone_number": "804-601-8553",
            "fax_number": "804-902-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 Winnetka Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232272929",
            "country_code": "US",
            "telephone_number": "804-852-6642",
            "fax_number": "804-441-9508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "CANDICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018025690001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "SHIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruchi Sharma
• Vivek Sharma, MD
• Craig Shealy, PH.D.
• Eric Radcliff Shell, D.D.S, M.S.
• Dorothy Ann Shellman, LPC, NCC, CSOTP
• Earl Lewis Shufford, DDS
• Ambreen Sajjad Siddiquie, M.D
• Victoria Fellowes Sidell, FNP
• Jennifer E Silva, FNP-C
• Vamsi M Singaraju, MD

• Clinical Social Worker in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.