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

Shiyue Qin, LISW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871071415

Shiyue Qin, LISW is a Clinical Social Worker in Cleveland Heights, Ohio. Qualified in 2018, 8 years ago. Practices with Mind Trek Counseling LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
Specialties on file
3
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

2460 Fairmount Blvd Ste 209
Cleveland Heights, OH 44106-3125
Phone: (216) 777-9587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2102709 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Social Worker Taxonomy 104100000X

Record details

NPI number1871071415
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedAugust 6, 2018
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mind Trek Counseling Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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