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Mr. Justin Dwight Shoemaker, LCSW

Clinical Social Worker in Moline, IL · enumerated 2013 · practices at Southpark Psychology Ltd.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659719417

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Registry record

Entity type Individual (Type 1)
Name Mr. Justin Dwight Shoemaker
Credential LCSW
Sex Male
Practice address 2100 52nd Ave, Moline, IL, 61265
Phone (309) 797-2900
Enumeration date Jun 13, 2013
Last updated in NPPES Jun 13, 2013

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 149.015796 (IL) Primary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Justin Shoemaker practice?
The practice location on file with NPPES is in Moline, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Justin Shoemaker?
The National Provider Identifier (NPI) for Justin Shoemaker is 1659719417, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-13.