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NICHOLLE DORN PA
NPI 1285568683
Social Worker - Clinical in Clarksville, AR

Active since June 10, 2026
910 S ROGERS ST STE E, CLARKSVILLE, AR 72830(479) 335-5747(479) 957-9083 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicholle Dorn Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLLE DORN PA (NPI 1285568683) is a healthcare organization registered as a clinical in Clarksville, Arkansas and active in the NPI registry since June 2026. The organization lists Nicholle Dorn, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1285568683
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNICHOLLE DORN PA
Location Address910 S ROGERS ST STE EClarksville, AR 72830-4331
Mailing Address910 S Rogers St Ste EClarksville, AR 72830-4331 · (479) 335-5747 · Fax (479) 957-9083
Phone(479) 335-5747
Fax(479) 957-9083
Organization SubpartNo
Authorized OfficialNicholle DornLcsw · (479) 264-5833
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1285568683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
910 S ROGERS ST STE E, Clarksville, AR 72830
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholle Dorn Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicholle Dorn PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholle Dorn, LCSW
Clinical Social Worker
NPI 1750050936
910 S ROGERS ST STE E
Clarksville, AR 72830
(479) 335-5747
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholle Dorn PA's NPI number?

The NPI number for Nicholle Dorn PA is 1285568683. It was assigned to this organization in the NPPES registry on June 10, 2026.

Where is Nicholle Dorn PA located?

Nicholle Dorn PA is located at 910 S Rogers St Ste E, Clarksville, AR 72830. The listed phone number is (479) 335-5747.

What is Nicholle Dorn PA's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicholle Dorn PA enrolled in Medicare?

Yes. Nicholle Dorn PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicholle Dorn PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Nicholle Dorn PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nicholle Dorn PA was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.