Justin Webb, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12003-M Issued in AR

Practice address

1001 S Arkansas Ave
Russellville, AR 72801-6732

Phone

(479) 567-5800

Fax

(479) 567-5801

NPI assigned

Feb 20, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BHC Pinnacle Pointe Hospital

  • Adolescent and Children Mental Health Clinic/Center
  • Russellville, AR
  • NPI 1356104632
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1144645698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S ARKANSAS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016732",
            "telephone_number": "479-567-5800",
            "fax_number": "479-567-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S ARKANSAS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016732",
            "telephone_number": "479-567-5800",
            "fax_number": "479-567-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JUSTIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-20",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "12003-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylon Watson
• Phyllis Watson, RECOVERY ASSISTANT
• Matthew Waymack
• Gerald Dwayne Webb, LPC
• Jonna Gail Webb, PA-C
• Sheri Shanta Webb, CASE MANAGER PARAPRO
• Dillon Webster, LAC
• Candace Darlene Welcher, APN
• Kaylee Michelle Welcher
• Wellness Centers of Midamerica PLLC

• Social Worker in Russellville, AR
• Providers in Russellville, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.