Young-in Shin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05984800 Issued in NJ

Practice address

135 Murphy PL Apt 4
West Henrietta, NY 14586-8820

Phone

(917) 494-5749

NPI assigned

Aug 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1871902213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 GREEN MOUNTAIN RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302724",
            "telephone_number": "917-494-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MURPHY PL APT 4",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145868820",
            "telephone_number": "917-494-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "YOUNG-IN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "082373-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05984800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Marie Sams, LPN
• Heather Lynn Schreiber, LPN
• Tiffany Searight, RN
• Christopher Sharpe
• Elizabeth Sheen
• Kevin Smith, RN
• Scott G Smith, PHARMD
• Sheryl Sugrue Smith
• Kristie Ann Snavlin, OTR/L
• Matthew Joseph Sodaro, LCSW

• Clinical Social Worker in West Henrietta, NY
• Providers in West Henrietta, 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 Feb 14, 2022; 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.