NPPES file of Aug 9, 2026

Nicole Medina, LCSW

Clinical Social Worker · Van Buren, AR

Nicole Medina, LCSW is a clinical social worker with a practice address in Van Buren, Arkansas, and NPI 1871363820, issued on Jan 2, 2024. Check the license (Arkansas 12122C, as entered in NPPES) with the Arkansas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1871363820
Name
Nicole Medina
Credential
LCSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
12122C AR
Self-reported in NPPES; status is on the state search
Practice location
2705 Oak LN, Van Buren, AR 72956
Phone
(479) 471-5950
Enumerated
Jan 2, 2024
Record last updated
Nov 5, 2025
Fax
(479) 471-5997
Medicare enrollment
Enrolled (PECOS I20251212002590); may accept Medicare assignment
Medical or professional school
University Of Oklahoma College Of Medicine, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest clinical social worker records → All 2,103 in Arkansas → Look up another NPI →

Also registered at 2705 Oak LN

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Ayers, RBTSocial Worker1417799263
  2. Traci Barrios, LACMental Health Counselor1306593199
  3. Catherine Cruz-BejaranoProfessional Counselor1821745795
  4. James Ellison, MFT, LADACMarriage & Family Therapist1497209530
  5. Sara Mainer, LMSWSocial Worker1407483357
  6. Saige SmallCase Manager/Care Coordinator1154674661

Verify Nicole Medina in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arkansas board licenses this profession
    Search for license 12122C    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arkansas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Nicole Medina among 2,103 clinical social worker records in Arkansas

Nicole Medina, LCSW is one of 2,103 clinical social worker records with a practice address in Arkansas. 20% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 96% of them.

  • NPI issued2024 · 96% of these records are older, 3% newer
  • In a Medicare fileNo · 20% of these records are
  • In the CMS Doctors and Clinicians fileYes · 27% of these records are
  • Graduated2022 · median 2012 among the 561 with a school on file
  • Record last updated2025 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Arkansas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

8 clinical social worker records list a practice address in Van Buren

They are 8 of the 524 NPPES records with a practice address in Van Buren, and 2,103 clinical social worker records in Arkansas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 2,103 in Arkansas → Every provider in Van Buren → Clinical Social Worker nationwide →

The 8 clinical social worker records with the nearest ZIP codes

  1. Jesse Carothers, LCSWVan Buren, AR 729561801001763
  2. Hannah Lopez, LCSWVan Buren, AR 729561972274900
  3. Janice Newton, LCSWVan Buren, AR 729561780242560
  4. Lynae Otten, LCSWVan Buren, AR 729561982857934
  5. Linda Smallman, LCSWVan Buren, AR 729561699811042
  6. Elizabeth Watters, LCSWVan Buren, AR 729561447620844
  7. Bailey WhiteisVan Buren, AR 729561518689801
  8. Michelle Wannemacher, LCSWUniontown, AR 729551689590580

Common questions

What is Nicole Medina, LCSW's NPI number?

Nicole Medina, LCSW's National Provider Identifier (NPI) is 1871363820, issued on Jan 2, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Nicole Medina, LCSW located?

The NPPES record lists a practice address at 2705 Oak LN, Van Buren, AR, 72956. Phone: (479) 471-5950. Providers update this record themselves, so call before visiting.

How can I verify Nicole Medina, LCSW's license?

NPPES lists Arkansas license number 12122C, as entered by the provider. Search the Arkansas board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.