JUSTIN SHIPOWICK (LICSW) – Clinical Social Worker, NPI 1447557665
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
212 CLINICAL SOCIAL WORKER in AK
Provider Addresses for JUSTIN SHIPOWICK (LICSW)
PO BOX 4105
PORTLAND, OR 972084105
Phone: (866) 907-1068
Fax: (425) 917-9141
Type: Mailing
1042 WILLOW CREEK RD STE A101-142
PRESCOTT, AZ 863011673
Phone: (866) 225-0605
Fax: (206) 536-3965
Type: Mailing
721 DEPOT DR
ANCHORAGE, AK 995011615
Phone: (866) 225-0605
Type: Location
2250 S WOODWORTH LOOP
SUITE 202
PALMER, AK 996457457
Phone: (907) 761-5800
Fax: (907) 761-5800
Type: Location
1042 Willow Creek Rd Ste A101-142
Prescott, AZ 863011673
Phone: (866) 225-0605
Fax: (206) 536-3965
Type: Location
7745 N Dusty Trail Way
Prescott Valley, AZ 863157806
Phone: (866) 225-0605
Fax: (206) 536-3965
Type: Location
100 N Howard St Ste R
Spokane, WA 992010508
Phone: (866) 225-0605
Type: Location
1150 S Colony Way Ste 3-670
Palmer, AK 996456967
Phone: (866) 225-0605
Fax: (206) 536-3965
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120430000526 | I | Clinical Social Worker | AK | TBD |
| I20210528001057 | I | Clinical Social Worker | WA | TBD |
| I20220509001291 | I | Clinical Social Worker | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 335 | 19 | $0 |
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | AZ |
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