Individual provider Active NPI

Laken R Crockett, LCSW, LISW, LICSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1366098220
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15348 Issued in LA
Practice address
10685B Hazelhurst Dr # 42632
Houston, TX 77043-3238
Phone
(225) 315-7098
Fax
(281) 754-4941
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28601-C AR
Clinical Social Worker 1041C0700X LC22560 ME
Clinical Social Worker 1041C0700X LC200002647 DC
Clinical Social Worker 1041C0700X 123364 IA
Clinical Social Worker 1041C0700X 15348 LA Primary

Addresses

Primary practice location

10685B Hazelhurst Dr # 42632
Houston, TX 77043-3238

Mailing address

10685B Hazelhurst Dr # 42632
Houston, TX 77043-3238

Other practice location 1

105 N 1st St
Augusta, AR 72006-2307
Phone (870) 731-1063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511003928 AR Practitioner - Clinical Social Worker 2860960531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 497
Augusta, AR 72006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28601-CARMDClinical Social Worker
LC200002647DCMDClinical Social Worker
123364IAMDClinical Social Worker
15348LAMDClinical Social Worker
LC22560MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Human Services District School Based Services PastSince Aug 18, 2019 Accepting new patients
Capital Area Human Services District PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1366098220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10685B HAZELHURST DR # 42632",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770433238",
            "fax_number": "281-754-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10685B HAZELHURST DR # 42632",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770433238",
            "telephone_number": "225-315-7098",
            "fax_number": "281-754-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "AR",
            "postal_code": "720062307",
            "country_code": "US",
            "telephone_number": "870-731-1063",
            "fax_number": "870-731-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "LAKEN",
        "middle_name": "R",
        "credential": "LCSW, LISW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "28601-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC22560",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002647",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "123364",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.