| Nicole Medina, LCSW | |
|
2705 Oak Ln, Van Buren, AR 72956-4816 | |
| (479) 471-5950 | |
| (479) 471-5997 |
| Full Name | Nicole Medina |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2705 Oak Ln, Van Buren, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871363820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12122C (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Medina, LCSW Po Box 11818, Fort Smith, AR 72917-1818 Ph: (479) 452-6650 | Nicole Medina, LCSW 2705 Oak Ln, Van Buren, AR 72956-4816 Ph: (479) 471-5950 |
Elizabeth Emily Chugg Watters, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3103 Alma Hwy, Van Buren, AR 72956 Phone: 479-474-4483 Fax: 479-782-5502 | |
Linda R Smallman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2010 Chestnut St, Suite D, Van Buren, AR 72956 Phone: 479-474-9555 Fax: 479-474-9574 | |
Jesse R Carothers, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3103 Alma Hwy, Van Buren, AR 72956 Phone: 479-474-4483 Fax: 479-262-5041 | |
Lynae Joy Otten, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1713 Woodwind Way, Van Buren, AR 72956 Phone: 712-363-7942 |