Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Shaffer, LCSW, LAC, MSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1548696719

Justin Shaffer, LCSW, LAC, MSW is a Clinical Social Worker in Fort Collins, Colorado. Qualified in 2010, 16 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
16
Licensed in
CO
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone: (970) 495-8020
Fax: (970) 495-7686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1217 Riverside Ave, Fort Collins, CO 80524-3218 — (970) 494-4200
  • 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 — (970) 624-2500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09923153 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ACD.0000347 (CO)

Record details

NPI number1548696719
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LAC , MSW
Sole proprietorNo
NPI enumeratedSeptember 19, 2013
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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