Individual provider · Type 1 NPI

Carolyn Shin, LCSW

Clinical Social Worker · Pinole, CA

NPI number 1053593822 Active

Practice location

1200 Fitzgerald Dr # 1109
Pinole, CA 94564-2252

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26509 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1053593822

Carolyn Shin, LCSW's National Provider Identifier is 1053593822, issued on Dec 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pinole, CA. The record was last updated on Nov 21, 2025.