Individual
JUSTIN SHIPOWICK
Active
Individual
JUSTIN SHIPOWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1143
AK
1041C0700X
Clinical Social Worker
LCSW19350
AZ
1041C0700X
Clinical Social Worker
LW60188244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1719531
—
AK
05
—
2231196
—
WA
Enumeration date
02/24/2011
Last updated
03/27/2023
Update your record
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