Individual provider · Type 1 NPI

Nicole Medina, LSW

Social Worker · Libertyville, IL

NPI number 1063392256 Active

Practice location

1800 Hollister Dr Ste 201
Libertyville, IL 60048-5266

Call (847) 549-1189 Map

Mailing address

36163 N James Ct
Ingleside, IL 60041-8210

Other practice locations

  • 604 Academy Dr, Northbrook, IL 60062-2421 · (847) 549-1189

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X150.116992 (IL)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

15 other providers at this address

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About NPI 1063392256

Nicole Medina, LSW's National Provider Identifier is 1063392256, issued on Sep 6, 2025. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Libertyville, IL. The record was last updated on Oct 24, 2025.