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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE MEDINA, LCSW

Active

NICOLE MEDINA, LCSW is a Clinical Social Worker healthcare provider located in VAN BUREN, Arkansas. NPI 1871363820 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · VAN BUREN, AR

Registration Details

NPI Number
1871363820
Provider Type
Individual
Gender
Female
NPI Issued
Jan 2, 2024 (2.6193361700381 yrs)
Last Updated
Nov 5, 2025
License
12122C (AR)

Practice Information

Address
2705 OAK LN
VAN BUREN, AR, 729564816
Browse AR providers · Browse ZIP 72956
Phone
4794715950
Fax
4794715997
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in VAN BUREN, AR

Name Credential NPI
LINDA R SMALLMAN LCSW 1699811042
JESSE R CAROTHERS LCSW 1801001763
LYNAE JOY OTTEN LCSW 1982857934
ELIZABETH EMILY CHUGG WATTERS LCSW 1447620844
JANICE MARIE NEWTON LCSW 1780242560
BAILEY WHITEIS 1518689801
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.