Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebony Shimin, LCSW

Individual provider Clinical Social Worker · NPI 1770301665

Ebony Shimin, LCSW is a Clinical Social Worker in Louisville, Kentucky. Qualified in 2015, 11 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana and Kentucky.

Years since qualifying
11
Licensed in
IN, KY
In the registry since
2024
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3058 Bardstown Rd # 1354
Louisville, KY 40205-3020
Phone: (502) 432-0214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 326 E Court Ave # 1057, Jeffersonville, IN 47130-3412 — (502) 432-0214

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 259696 (KY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34012311A (IN)

Record details

NPI number1770301665
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 30, 2024
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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