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

Justin Wade Keathley, LCSW

Individual provider Clinical Social Worker · NPI 1750763678

Justin Wade Keathley, LCSW is a Clinical Social Worker in Jacksonville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015
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

2126 N 1st St Ste F
Jacksonville, AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
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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 7536-C (AR)

Record details

NPI number1750763678
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 27, 2015
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

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