Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Benjamin Allen Shaw, LISW

Individual provider Clinical Social Worker · NPI 1124400510

Mr. Benjamin Allen Shaw, LISW is a Clinical Social Worker in Dubuque, Iowa. Qualified in 2011, 15 years ago. Practices with Crescent Community Health Center, a 17-clinician group. Licensed in Iowa.

Years since qualifying
15
Licensed in
IA
In the registry since
2015
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1690 Elm St Ste 300
Dubuque, IA 52001-3679
Phone: (563) 690-2850
Fax: (563) 557-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 007817 (IA)

Record details

NPI number1124400510
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address1690 Elm St Ste 300, Dubuque, IA 52001-3679

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Crescent Community Health Center — 17 clinicians
Accepts Medicare assignment Not indicated

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