Individual provider · Type 1 NPI

Shin Woo Kim

Clinical Social Worker · Syosset, NY

NPI number 1639096662 Active

Practice location

48 Fieldstone Dr
Syosset, NY 11791-4107

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR081141-01 (NY)

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 1639096662

Shin Woo Kim's National Provider Identifier is 1639096662, issued on Jul 1, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syosset, NY. The record was last updated on Jul 1, 2026.