Provider Demographics
NPI:1548469059
Name:LAFFOON, JUSTIN M (LCSW)
Entity type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:M
Last Name:LAFFOON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:JUSTIN
Other - Middle Name:M
Other - Last Name:CRABB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2318 S SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-1764
Mailing Address - Country:US
Mailing Address - Phone:501-686-8145
Mailing Address - Fax:501-526-6280
Practice Address - Street 1:21 BRIDGEWAY RD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72113-9516
Practice Address - Country:US
Practice Address - Phone:501-687-8633
Practice Address - Fax:501-771-8509
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3639-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical