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CARYN MICHELLE MOORE SHINABA LCSW
NPI 1699268607
Social Worker - Clinical in New York, NY

Active since June 13, 2018Opted out of Medicare · through Feb 6, 2028
30 W 141ST ST APT 3D, NEW YORK, NY 10037(773) 633-3112 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2025, Jun 13, 2018 (2 updates tracked since 2018).

About Caryn Michelle Moore Shinaba Lcsw NPPES

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

CARYN MICHELLE MOORE SHINABA LCSW (NPI 1699268607) is an individual clinical provider in New York, New York, licensed in New York (081611) and active in the NPI registry since June 2018. She has opted out of Medicare through February 6, 2028.

NPPES Registry Identity

NPI1699268607
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARYN MICHELLE MOORE SHINABACredential: LCSW
Location Address30 W 141ST ST APT 3DNew York, NY 10037-1305
Mailing Address30 W 141st St Apt 3dNew York, NY 10037-1305 · (773) 633-3112
Phone(773) 633-3112
Sole ProprietorNo
Enumeration DateJune 13, 2018
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1699268607 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 NY · 081611
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.
30 W 141ST ST APT 3D, New York, NY 10037
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Caryn Michelle Moore Shinaba Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 6, 2024 through February 6, 2028.

Opt-Out Effective DateFebruary 6, 2024
Opt-Out In Effect ThroughFebruary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Caryn Moore Shinaba's NPI number?

The NPI number for Caryn Moore Shinaba is 1699268607. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Caryn Moore Shinaba located?

Caryn Moore Shinaba practices at 30 W 141st St Apt 3D, New York, NY 10037. The listed phone number is (773) 633-3112.

What is Caryn Moore Shinaba's specialty?

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

Is Caryn Moore Shinaba enrolled in Medicare?

No. Caryn Moore Shinaba has opted out of Medicare through February 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Caryn Moore Shinaba was last updated on December 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.