Individual provider · Type 1 NPI

Jessica Shin, LCSW

Clinical Social Worker · Vienna, VA

NPI number 1902799414 Active

Practice location

144 Church St NW Ste 205
Vienna, VA 22180-4550

Call (571) 261-7764 Map

Mailing address

2000 Riverside Dr Apt 14M
Richmond, VA 23225-3671

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904017938 (VA)

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 1902799414

Jessica Shin, LCSW's National Provider Identifier is 1902799414, issued on Jun 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vienna, VA. The record was last updated on Jun 2, 2025.