Sung Jae Shin, LCSW
NPI 1710575568 · Clinical Social Worker · Rego Park, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sung Jae Shin, LCSW is a Clinical Social Worker provider in Rego Park, NY (NPI 1710575568).
Provider details
- NPI number
- 1710575568
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 091861 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-07
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Sung Jae Shin's NPI number?
- Sung Jae Shin's National Provider Identifier (NPI) is 1710575568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sung Jae Shin's specialty?
- Sung Jae Shin is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Sung Jae Shin located?
- Sung Jae Shin's practice location on file with NPPES is 6110 Alderton St Apt B3, Rego Park, NY 11374-2702.
- What is Sung Jae Shin's phone number?
- The practice phone number listed in the NPPES registry for Sung Jae Shin is (929) 206-7720.
- Does Sung Jae Shin accept Medicare?
- Sung Jae Shin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sung Jae Shin's NPI active?
- Yes — Sung Jae Shin's NPI (1710575568) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.