Active NPI
Laken R Crockett, LCSW, LISW, LICSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1366098220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15348
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28601-C | AR | MD | Clinical Social Worker |
| LC200002647 | DC | MD | Clinical Social Worker |
| 123364 | IA | MD | Clinical Social Worker |
| 15348 | LA | MD | Clinical Social Worker |
| LC22560 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Human Services District School Based Services | Past | Accepting new patients | |
| Capital Area Human Services District | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Augusta, AR
- NPI 1275635542
-
- Adolescent and Children Mental Health Clinic/Center
- Baton Rouge, LA
- NPI 1982768644
-
- Adolescent and Children Mental Health Clinic/Center
- Baton Rouge, LA
- NPI 1326464637
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.