MR. JUSTIN DWIGHT SHOEMAKER LCSW
NPI 1659719417
Social Worker - Clinical in Moline, IL

Active since June 13, 2013
2100 52ND AVE, MOLINE, IL 61265(309) 797-2900 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Justin Dwight Shoemaker Lcsw NPPES

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

MR. JUSTIN DWIGHT SHOEMAKER LCSW (NPI 1659719417) is an individual clinical provider in Moline, Illinois, licensed in Illinois (149.015796) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1659719417
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JUSTIN DWIGHT SHOEMAKERCredential: LCSW
Location Address2100 52ND AVEMoline, IL 61265-6366
Mailing Address2100 52nd AveMoline, IL 61265-6366 · (309) 797-2900
Sole ProprietorNo
Enumeration DateJune 13, 2013
NPI 1659719417 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 IL · 149.015796
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.
2100 52ND AVE, Moline, IL 61265

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
2100 52ND AVE
MOLINE, IL 61265
Counselor (Professional)
2100 52ND AVE
MOLINE, IL 61265
Social Worker (Clinical)
2100 52ND AVE
MOLINE, IL 61265
Psychologist
2100 52ND AVE
MOLINE, IL 61265
Social Worker (Clinical)
2100 52ND AVE
MOLINE, IL 61265
Psychologist
2100 52ND AVE
MOLINE, IL 61265
Psychologist (Counseling)
2100 52ND AVE
MOLINE, IL 61265
Counselor (Professional)
2100 52ND AVE
MOLINE, IL 61265

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 Justin Shoemaker's NPI number?

The NPI number for Justin Shoemaker is 1659719417. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Justin Shoemaker located?

Justin Shoemaker practices at 2100 52nd Ave, Moline, IL 61265. The listed phone number is (309) 797-2900.

What is Justin Shoemaker's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Shoemaker was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.