MR. BENJAMIN ALLEN SHAW L.I.S.W.
NPI 1124400510
Social Worker - Clinical in Dubuque, IA
NPI Status: Active since June 23, 2015
Contact Information
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
Phone: (563) 690-2850
Fax: (563) 557-8488
- Individual
- Male
- Years of Experience 15
- Social Worker
- Clinical
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About BENJAMIN SHAW
This page provides the complete NPI Profile along with additional information for Benjamin Shaw, a provider established in Dubuque, Iowa with a medical specialization in Social Worker, focusing in clinical and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1124400510 assigned on June 2015. The practitioner's primary taxonomy code is 1041C0700X with license number 007817 (IA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1124400510
- Provider Name
- MR. BENJAMIN ALLEN SHAW L.I.S.W.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1690 ELM ST STE 300 DUBUQUE, IA 52001
- Location Phone
- (563) 690-2850
- Location Fax
- (563) 557-8488
- Mailing Address
- 1690 ELM ST STE 300 DUBUQUE, IA 52001
- Mailing Phone
- (563) 690-2850
- Mailing Fax
- (563) 557-8488
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-23-2015
- Last Update Date
- 01-23-2025
- Code Navigator
A clinical social worker like Benjamin Shaw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 007817
- License State
- IA
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Share - EPO
- Elevate by Medica Expanded Bronze Standard - EPO
- Elevate by Medica Gold $0 Copay PCP Visits - EPO
- Elevate by Medica Gold Share - EPO
- Elevate by Medica Gold Standard - EPO
- Elevate by Medica Silver $0 Copay PCP Visits - EPO
- Elevate by Medica Silver Share - EPO
- Elevate by Medica Silver Standard - EPO
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Share - EPO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Standard | UnityPoint Health - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Primary Care | UnityPoint Health - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Primary Care | UnityPoint Health - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Benjamin Shaw is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Benjamin Shaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6305264581
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200921001662
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 52001 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $52.96
- Maximum New Patient Price $161.4
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.24
- Maximum New Patient Copayment $40.35
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.36
- Minimum Established Patient Price $16.91
- Maximum Established Patient Price $131.98
- Average Established Patient Copayment $16.59
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MR. BENJAMIN ALLEN SHAW L.I.S.W.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 4 | 0 | 0 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 8 | 0 | 0 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 8 + 0 + 0 + 5 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1124400510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
RACHAEL A. PLOESSL DNP, FNP-BC
Nurse Practitioner
(Family)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
DR. HEATHER MARCELLE RICKERTSEN PHARM D RPH
Pharmacist
(Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
MICHELE ANN GANSHIRT A.R.N.P.
Nurse Practitioner
(Pediatrics)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
ANN M WELTIN APNP, CNMW
Nurse Practitioner
(Family)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
DR. KEVIN J STINGLEY DDS
Dentist
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
DR. MARCO ROUMAN BDS,MFDSRCS
Dentist
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
SUSAN LIGHT ROEWE MD
Pediatrics
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
DR. KARISSA SANCHEZ TRAUN MD
Family Medicine
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
TARA G. WEPKING DNP, FNP-BC
Nurse Practitioner
(Family)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
DR. SAMANTHA S HUMKE D.D.S.
Dentist
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
DR. ALI HAMAM AH
Student in an Organized Health Care Education/Training Program
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
ABDULRHMAN ABOUALI
Student in an Organized Health Care Education/Training Program
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
CAITLYN BRYANNE HICKS DNP, FNP-BC
Nurse Practitioner
(Family)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
ALLISON L SCHWAB LISW
Social Worker
(Clinical)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
KATIE M CAMPBELL PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
KIRESTEN THEILL SOCIAL WORKER
Social Worker
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
ROMINA PAOLA GONZALEZ ZAMBRANO
Student in an Organized Health Care Education/Training Program
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
JENNA ARDENE GUERNSEY DDS
Dentist
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
DR. SHIQI WANG DMD
Dentist
(General Practice)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
MR. MARK W WALTER M.D
Psychiatry & Neurology
(Psychiatry)
1690 ELM ST STE 300
DUBUQUE, IA
ZIP 52001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124400510, enumerated as an "individual" on June 23, 2015.
The provider is located at 1690 ELM ST STE 300 DUBUQUE, IA 52001 and the phone number is (563) 690-2850.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Medica and Wellmark Health Plan of Iowa, Inc.. Please consult your insurance carrier or call the provider to verify.
