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SUJEONG SHIN LICSW
NPI 1780163493
Social Worker - Clinical in Manchester, NH

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment
2013 ELM ST, MANCHESTER, NH 03104(603) 627-2702 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sujeong Shin Licsw NPPES

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

SUJEONG SHIN LICSW (NPI 1780163493) is an individual clinical provider in Manchester, New Hampshire, licensed in New Hampshire (2142) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780163493
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUJEONG SHINCredential: LICSW
Location Address2013 ELM STManchester, NH 03104-2528
Mailing Address113 High StExeter, NH 03833-2927
Phone(603) 627-2702
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 13, 2018
✔ NPI 1780163493 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 NH · 2142
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.
2013 ELM ST, Manchester, NH 03104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sujeong Shin Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729339379
PECOS Enrollment IDI20180921000497
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
237 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03104 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 $57.75 – $174.26
Typical copayment $0.00 (range $14.43 – $43.56)
Most-billed visit code NA
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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 20

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

MRS. SUSAN DENISE MACDERMOTT LMHC
Counselor (Mental Health)
2013 ELM ST
MANCHESTER, NH 03104
Hillsborough County (603) 627-2702
REBECCA TAGGART MELIA LICSW
Social Worker (Clinical)
2013 ELM ST
MANCHESTER, NH 03104
Hillsborough County (603) 627-2702
REBECCA ROY
Counselor (Mental Health)
2013 ELM ST
MANCHESTER, NH 03104
Hillsborough County (603) 627-2702
DR. STEPHANIE KATE WILLISTON PH.D.
Marriage & Family Therapist
2013 ELM ST, PASTORAL COUNSELING SERVICES
MANCHESTER, NH 03104
Hillsborough County (603) 627-2702
MS. AUDREY ANNE WATJEN LCSW
Social Worker (Clinical)
2013 ELM ST
MANCHESTER, NH 03104
Hillsborough County (603) 627-2702
MS. LISA E GOLD LCMHC
Counselor (Mental Health)
2013 ELM ST
MANCHESTER, NH 03104
Hillsborough County (603) 627-2702
MELISSA MARIE GRUDINSKI LICSW
Social Worker (Clinical)
2013 ELM ST
MANCHESTER, NH 03104
Hillsborough County (603) 627-2702
BRIGHTLEAF, INC
Clinic/Center (Adult Mental Health)
2013 ELM ST, MANNING HOUSE
MANCHESTER, NH 03104
Hillsborough County (603) 627-2702

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 Sujeong Shin's NPI number?

The NPI number for Sujeong Shin is 1780163493. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Sujeong Shin located?

Sujeong Shin practices at 2013 Elm St, Manchester, NH 03104. The listed phone number is (603) 627-2702.

What is Sujeong Shin's specialty?

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

Is Sujeong Shin enrolled in Medicare?

Yes. Sujeong Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sujeong Shin accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Providence Health Plan list Sujeong Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sujeong Shin was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.