Nicholle Dorn PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NICHOLLE DORN PA

Practice address

910 S Rogers St Ste E
Clarksville, AR 72830-4331

Phone

(479) 335-5747

Fax

(479) 957-9083

NPI assigned

Jun 10, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nicholle Dorn, LCSWNPI 1750050936

Title

LCSW

Phone

(479) 264-5833

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholle Dorn, LCSW

  • Clinical Social Worker
  • Clarksville, AR
  • NPI 1750050936
  NPD Authorized official
• Ashley Graham Donaldson

  • Professional Counselor
  • Clarksville, AR
  • NPI 1972896686
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1285568683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S ROGERS ST STE E",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304331",
            "telephone_number": "479-335-5747",
            "fax_number": "479-957-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S ROGERS ST STE E",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304331",
            "telephone_number": "479-335-5747",
            "fax_number": "479-957-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLLE DORN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "NICHOLLE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "479-264-5833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Nelson, RECOVERY ASSISTANT
• Netscript Telemedicine Solutions
• Newgen of Arkansas LLC
• Jessica Newton
• Next Level Healthcare PLLC
• Hali Nichols
• Robert F Noonan, M.D.
• Donna Nowacki, CMP
• Amanda Nunn, RECOVERY ASSISTANT
• Maria Olguin

• Clinical Social Worker in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.