NICOLE MEDINA LSW
NPI 1063392256
Social Worker in Libertyville, IL
- Individual
- Female
- Social Worker
About NICOLE MEDINA
This page provides the complete NPI Profile along with additional information for Nicole Medina, a provider established in Libertyville, Illinois with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1063392256 assigned on September 2025. The practitioner's primary taxonomy code is 104100000X with license number 150.116992 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1063392256 Verify this NPI
- Provider Name
- NICOLE MEDINA LSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1800 HOLLISTER DR STE 201 LIBERTYVILLE, IL 60048
- Location Phone
- (847) 549-1189
- Mailing Address
- 36163 N JAMES CT INGLESIDE, IL 60041
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-06-2025
- Last Update Date
- 10-24-2025
- Code Navigator
A social worker like Nicole Medina helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Secondary Locations
- 604 Academy Dr
Northbrook, IL 60062
(847) 549-1189
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 150.116992
- License State
- IL
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
LIBERTYVILLE, IL 60048
LIBERTYVILLE, IL 60048
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063392256, enumerated as an "individual" on September 06, 2025.
The provider is located at 1800 HOLLISTER DR STE 201 LIBERTYVILLE, IL 60048 and the phone number is (847) 549-1189.
Social Worker with taxonomy code 104100000X.
