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MR. BENJAMIN ALLEN SHAW L.I.S.W.
NPI 1124400510
Social Worker - Clinical in Dubuque, IA

Active since June 23, 2015PECOS Enrolled
1690 ELM ST STE 300, DUBUQUE, IA 52001(563) 690-2850(563) 557-8488 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2023, Jun 16, 2021 (2 updates tracked since 2021).

About Mr. Benjamin Allen Shaw L.i.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENJAMIN ALLEN SHAW L.I.S.W. (NPI 1124400510) is an individual clinical provider in Dubuque, Iowa, licensed in Iowa (007817) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124400510
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BENJAMIN ALLEN SHAWCredential: L.I.S.W.
Location Address1690 ELM ST STE 300Dubuque, IA 52001-3679
Mailing Address1690 Elm St Ste 300Dubuque, IA 52001-3679 · (563) 690-2850 · Fax (563) 557-8488
Phone(563) 690-2850
Fax(563) 557-8488
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 23, 2015
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1124400510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IA · 007817
Definition
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.
1690 ELM ST STE 300, Dubuque, IA 52001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Benjamin Allen Shaw L.i.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305264581
PECOS Enrollment IDI20200921001662
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crescent Community Health Center
Same address
Federally Qualified Health Center (FQHC)
1690 ELM ST STE 300
Dubuque, IA 52001
  • Reassigned Medicare billing, Iowa enrollment
  • 31 clinicians in this Medicare group
NPI 1720146319 (563) 690-0321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMANTHA S HUMKE D.D.S.
Dentist
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
CAITLYN BRYANNE HICKS DNP, FNP-BC
Nurse Practitioner (Family)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
ALLISON L SCHWAB LISW
Social Worker (Clinical)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
RACHAEL A. PLOESSL DNP, FNP-BC
Nurse Practitioner (Family)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
DR. SHIQI WANG DMD
Dentist (General Practice)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
DR. GEORGE E ANASTASSOV DDS,MD
Oral & Maxillofacial Surgery
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-0321
MICHELE ANN GANSHIRT A.R.N.P.
Nurse Practitioner (Pediatrics)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850
MR. MARK W WALTER M.D
Psychiatry & Neurology (Psychiatry)
1690 ELM ST STE 300
DUBUQUE, IA 52001
Dubuque County (563) 690-2850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Shaw's NPI number?

The NPI number for Benjamin Shaw is 1124400510. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Benjamin Shaw located?

Benjamin Shaw practices at 1690 Elm St Ste 300, Dubuque, IA 52001. The listed phone number is (563) 690-2850.

What is Benjamin Shaw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Benjamin Shaw enrolled in Medicare?

Yes. Benjamin Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Shaw reassigns Medicare benefits to Crescent Community Health Center (Dubuque, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Shaw accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 4 other insurers list Benjamin Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Shaw was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.