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

Jon Medders, LCSW

Individual provider Counselor · NPI 1316386881

Jon Medders, LCSW is a Counselor in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2013
Specialties on file
2
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

111 E Davidson St
Fayetteville, AR 72701-3413
Phone: (479) 409-6059
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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 7016-C (AR)
Counselor Taxonomy 101Y00000X (AR)

Record details

NPI number1316386881
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 18, 2013
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021

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