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NICHOLLE DORN LCSW
NPI 1750050936
Social Worker - Clinical in Clarksville, AR

Active since September 10, 2021PECOS Enrolled
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: August 09, 2026.

Record update history: Jul 15, 2022, Sep 10, 2021 (2 updates tracked since 2021).

About Nicholle Dorn Lcsw NPPES

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

NICHOLLE DORN LCSW (NPI 1750050936) is an individual clinical provider in Clarksville, Arkansas, licensed in Arkansas (3785-C) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750050936
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICHOLLE DORNCredential: LCSW
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
Sole ProprietorYes
Enumeration DateSeptember 10, 2021
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1750050936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 3785-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.
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72830 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

ASHLEY G DONALDSON PA
Counselor (Professional)
910 S ROGERS ST STE E
CLARKSVILLE, AR 72830
Johnson County (479) 335-5747
NICHOLLE DORN PA
Social Worker (Clinical)
910 S ROGERS ST STE E
CLARKSVILLE, AR 72830
Johnson County (479) 335-5747

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's NPI number?

The NPI number for Nicholle Dorn is 1750050936. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Where is Nicholle Dorn located?

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

What is Nicholle Dorn's specialty?

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

Is Nicholle Dorn enrolled in Medicare?

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

What insurance does Nicholle Dorn accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Nicholle Dorn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholle Dorn 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 2 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.