Justin Shipowick, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1143 Issued in AK

Practice address

721 Depot Dr
Anchorage, AK 99501-1615

Phone

(866) 225-0605

NPI assigned

Feb 24, 2011

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK, WA, AZ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Navigate Behavioral Healthcare-LLCGroup PAC ID 0042619066, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justinshipowick@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Navigate Behavioral Healthcare-LLC

  • Clinical Social Worker
  • Anchorage, AK
  • NPI 1366027179

  AZ, WA

  Medicare reassignment Care Compare group NPD Authorized official
• Mindful Therapy Group PC

  dba Mindful Therapy Group

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678
  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Providence Health & Services- Washington

  dba Providence Medical Group Alaska

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
  • NPI 1093956278

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1447557665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 WILLOW CREEK RD STE A101-142",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011673",
            "telephone_number": "866-225-0605",
            "fax_number": "206-536-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 DEPOT DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995011615",
            "telephone_number": "866-225-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 Willow Creek Rd Ste A101-142",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011673",
            "country_code": "US",
            "telephone_number": "866-225-0605",
            "fax_number": "206-536-3965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7745 N Dusty Trail Way",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863157806",
            "country_code": "US",
            "telephone_number": "866-225-0605",
            "fax_number": "206-536-3965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Howard St Ste R",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "866-225-0605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 S Colony Way Ste 3-670",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996456967",
            "country_code": "US",
            "telephone_number": "866-225-0605",
            "fax_number": "206-536-3965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPOWICK",
        "first_name": "JUSTIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60188244",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW19350",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719531",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2231196",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shine the Dietitian, LLC
• Keriann Shine, RD
• Chelsea Miriam Shipley, RN
• Emily Shipman, PA-C
• Ramona E Shipman, BAS
• Cleve Royce Shirey, M.D.
• Haley Shirley, AUD
• Monique Terese Shirley
• Rita Shirley, LPC
• Laura Louise Shively, M.D.

• Clinical Social Worker in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.