Individual provider · Type 1 NPI

Nicole Medina, LCSW

Clinical Social Worker · Van Buren, AR

NPI number 1871363820 Active

Practice location

2705 Oak Ln
Van Buren, AR 72956-4816

Call (479) 471-5950 Map

Fax (479) 471-5997

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818

Other practice locations

  • 3111 S 70th St, Fort Smith, AR 72903-5017 · (479) 452-6650

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12122C (AR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

8 other providers at this address

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About NPI 1871363820

Nicole Medina, LCSW's National Provider Identifier is 1871363820, issued on Jan 2, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Van Buren, AR. The record was last updated on Nov 5, 2025.