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

Nicole Medina, LSW

Individual provider Social Worker · NPI 1063392256

Nicole Medina, LSW is a Social Worker in Libertyville, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Hollister Dr Ste 201
Libertyville, IL 60048-5266
Phone: (847) 549-1189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150.116992 (IL)

Record details

NPI number1063392256
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedSeptember 6, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 6, 2025

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