Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Lark Shasteen, LCSW

Individual provider Clinical Social Worker · NPI 1871525071

John Lark Shasteen, LCSW is a Clinical Social Worker in Bentonville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1803 SW Regional Airport Blvd Ste 5
Bentonville, AR 72712-8792
Phone: (479) 876-8626
Fax: (479) 876-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C-1285 (AR)

Record details

NPI number1871525071
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESJune 16, 2018

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