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JON MEDDERS LCSW
NPI 1316386881
Social Worker - Clinical in Fayetteville, AR

Active since June 18, 2013
111 E DAVIDSON ST, FAYETTEVILLE, AR 72701(479) 409-6059 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2021, Oct 21, 2016 (2 updates tracked since 2016).

About Jon Medders Lcsw NPPES

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

JON MEDDERS LCSW (NPI 1316386881) is an individual clinical provider in Fayetteville, Arkansas, licensed in Arkansas (7016-C) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1316386881
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJON MEDDERSCredential: LCSW
Location Address111 E DAVIDSON STFayetteville, AR 72701-3413
Mailing Address111 E Davidson StFayetteville, AR 72701-3413 · (479) 409-6059
Phone(479) 409-6059
Sole ProprietorYes
Enumeration DateJune 18, 2013
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1316386881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 7016-C
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.
Also ListedCounselorTaxonomy 101Y00000X
111 E DAVIDSON ST, Fayetteville, AR 72701
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWEST COUNSELING & SOCIAL WORK SERVICES, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
111 E DAVIDSON ST
FAYETTEVILLE, AR 72701
Washington County (479) 973-9790
MS. PAULA JEAN MATTHEWS M.S.W., L.C.S.W.
Social Worker
111 E DAVIDSON ST
FAYETTEVILLE, AR 72701
Washington County (479) 582-9020
MR. BRUCE R ALLEN M.S.W.
Social Worker (Clinical)
111 E DAVIDSON ST, P.O. BX. 3724
FAYETTEVILLE, AR 72701
Washington County (479) 582-4422
MR. ANDREW B. SIEFF A.P.N., B.C.
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
111 E DAVIDSON ST
FAYETTEVILLE, AR 72701
Washington County (479) 871-2005
LINDSAY B SCHUPBACH LCSW
Social Worker (Clinical)
111 E DAVIDSON ST
FAYETTEVILLE, AR 72701
Washington County (479) 397-0375
CATHERINE TOTTEN LCSW
Social Worker (Clinical)
111 E DAVIDSON ST
FAYETTEVILLE, AR 72701
Washington County (479) 973-9790
MATTHEWS SOCIAL WORK SERVICES, INC.
Social Worker
111 E DAVIDSON ST
FAYETTEVILLE, AR 72701
Washington County (479) 582-9020

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 Jon Medders's NPI number?

The NPI number for Jon Medders is 1316386881. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Jon Medders located?

Jon Medders practices at 111 E Davidson St, Fayetteville, AR 72701. The listed phone number is (479) 409-6059.

What is Jon Medders's specialty?

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

When was this NPI record last updated?

The NPPES record for Jon Medders was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.