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

Nicole Medina, LCSW

Individual provider Clinical Social Worker · NPI 1871363820

Nicole Medina, LCSW is a Clinical Social Worker in Van Buren, Arkansas. Graduated from University of Oklahoma College of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in Arkansas.

Years since qualifying
4
Trained at
University of Oklahoma College of Medicine
Licensed in
AR
In the registry since
2024
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

2705 Oak Ln
Van Buren, AR 72956-4816
Phone: (479) 471-5950
Fax: (479) 471-5997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12122C (AR)

Record details

NPI number1871363820
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 2, 2024
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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