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KYONGHUI JANICE SHIN LCSW
NPI 1710779384
Social Worker - Clinical in Philadelphia, PA

Active since May 20, 2025PECOS Enrolled
6705 OLD YORK RD, PHILADELPHIA, PA 19126(215) 224-2000(215) 224-8651 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyonghui Janice Shin Lcsw NPPES

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

KYONGHUI JANICE SHIN LCSW (NPI 1710779384) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW023791) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710779384
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYONGHUI JANICE SHINCredential: LCSW
Location Address6705 OLD YORK RDPhiladelphia, PA 19126-2841
Mailing Address6705 Old York RdPhiladelphia, PA 19126-2841 · (215) 224-2000 · Fax (215) 224-8651
Phone(215) 224-2000
Fax(215) 224-8651
Sole ProprietorNo
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1710779384 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 PA · CW023791
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.
6705 OLD YORK RD, Philadelphia, PA 19126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyonghui Janice Shin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE PHILIP JAISOHN MEMORIAL FOUNDATION
Social Worker (Clinical)
6705 OLD YORK RD
PHILADELPHIA, PA 19126
Philadelphia County (267) 648-7458
THE PHILIP JAISOHN MEMORIAL FOUNDATION INC
Family Medicine
6705 OLD YORK RD
PHILADELPHIA, PA 19126
Philadelphia County (215) 224-2000
DR. WON MYUNG KIM M.D.
Internal Medicine
6705 OLD YORK RD
PHILADELPHIA, PA 19126
Philadelphia County (215) 224-2000
DR. SUNWHA HONG MD
Obstetrics & Gynecology (Gynecology)
6705 OLD YORK RD
PHILADELPHIA, PA 19126
Philadelphia County (215) 224-2000
JAISOHN HOME HEALTH CARE, INC
Home Health
6705 OLD YORK RD
PHILADELPHIA, PA 19126
Philadelphia County (215) 224-2040
JAISOHN HOME CARE, INC.
Home Health
6705 OLD YORK RD
PHILADELPHIA, PA 19126
Philadelphia County (215) 224-2137
DR. INKYO KIM M.D.
Internal Medicine
6705 OLD YORK RD
PHILADELPHIA, PA 19126
Philadelphia County (215) 224-2000

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 Kyonghui Shin's NPI number?

The NPI number for Kyonghui Shin is 1710779384. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Kyonghui Shin located?

Kyonghui Shin practices at 6705 Old York Rd, Philadelphia, PA 19126. The listed phone number is (215) 224-2000.

What is Kyonghui Shin's specialty?

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

Is Kyonghui Shin enrolled in Medicare?

Yes. Kyonghui Shin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyonghui Shin was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.