Active NPI
Justin M Laffoon, LCSW
- Clinical Social Worker
- North Little Rock, AR
National Provider Identifier
1548469059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3639-C
- Practice address
- 21 Bridgeway Rd
North Little Rock, AR 72113-9516 - Phone
- (501) 687-8633
- Fax
- (501) 771-8509
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3639-C | AR | Primary |
Addresses
Primary practice location
21 Bridgeway Rd
North Little Rock, AR 72113-9516
Mailing address
2318 S Summit St
Little Rock, AR 72206-1764
Phone (501) 686-8145
Other practice location 1
305 S Palm St
Little Rock, AR 72205-5432
Phone (501) 251-6405
Other practice location 2
4301 W Markham St
#816
Little Rock, AR 72205-7101
Phone (501) 686-8145
Other names 1
- Mr. Justin M Crabb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3639-C | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1548469059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 S SUMMIT ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722061764",
"telephone_number": "501-686-8145",
"fax_number": "501-526-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BRIDGEWAY RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721139516",
"telephone_number": "501-687-8633",
"fax_number": "501-771-8509"
}
],
"practiceLocations": [
{
"address_1": "305 S Palm St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722055432",
"country_code": "US",
"telephone_number": "501-251-6405",
"fax_number": "501-686-9089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St",
"address_2": "#816",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-8145",
"fax_number": "501-526-6280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAFFOON",
"first_name": "JUSTIN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "3639-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTIN",
"last_name": "CRABB",
"middle_name": "M",
"prefix": "MR.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.