Individual provider Active NPI

William Edward Wimsatt Jr., LCSW, CAC III

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1477949337
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00000753 Issued in CO
Practice address
1170 Colorado Ave
Grand Junction, CO 81501-3523
Phone
(970) 241-2948
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.00000753 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0007079 CO

Addresses

Primary practice location

1170 Colorado Ave
Grand Junction, CO 81501-3523

Mailing address

1170 Colorado Ave
Grand Junction, CO 81501-3523
Phone (970) 241-2948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240805002659 CO Practitioner - Clinical Social Worker 2264979574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1170 Colorado Ave
Grand Junction, CO 81501-3523
Phone (970) 241-2948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7079COMDRehabilitation Psychologist
753COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shift Counseling Services, PLLC Addiction (Substance Use Disorder) Current Accepting new patients
Shift Counseling Services, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Shift Counseling Services, PLLC Past Accepting new patients

Locations

1170 Colorado Ave
Grand Junction, CO 81501
Phone (970) 241-2948

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1477949337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 COLORADO AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013523",
            "telephone_number": "970-241-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 COLORADO AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013523",
            "telephone_number": "970-241-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMSATT",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW, CAC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00000753",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0007079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.