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CAROLYN SHIN LCSW
NPI 1053593822
Social Worker - Clinical in Pinole, CA

Active since December 03, 2007
1200 FITZGERALD DR # 1109, PINOLE, CA 94564(415) 568-7481 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn Shin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN SHIN LCSW (NPI 1053593822) is an individual clinical provider in Pinole, California, licensed in California (26509) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1053593822
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLYN SHINCredential: LCSW
Location Address1200 FITZGERALD DR # 1109Pinole, CA 94564-2252
Mailing Address1200 Fitzgerald Dr # 1109Pinole, CA 94564-2252 · (415) 568-7481
Phone(415) 568-7481
Sole ProprietorYes
Enumeration DateDecember 3, 2007
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1053593822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 26509
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1200 FITZGERALD DR # 1109, Pinole, CA 94564
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Shin's NPI number?

The NPI number for Carolyn Shin is 1053593822. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Where is Carolyn Shin located?

Carolyn Shin practices at 1200 Fitzgerald Dr # 1109, Pinole, CA 94564. The listed phone number is (415) 568-7481.

What is Carolyn Shin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Carolyn Shin was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.