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

Stacy Shin, LCSW

Individual provider Mental Health Counselor · NPI 1255988796

Stacy Shin, LCSW is a Mental Health Counselor in Los Angeles, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3
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

5105 W Goldleaf Cir
Los Angeles, CA 90056-1269
Phone: (323) 298-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1635 W Main St # 100, Alhambra, CA 91801-1951 — (626) 248-1800
  • 2121 W Temple St, Los Angeles, CA 90026-4915 — (213) 385-5100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 119879 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 95801 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255988796
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESMay 7, 2024
Certification dateApril 10, 2024

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