Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELBY L BOURNE, LCSW

Active

Clinical Social Worker · FAYETTEVILLE, AR

Registration Details

NPI Number: 1841633674
Provider Type: Individual
Gender: Female
NPI Issued: Apr 11, 2013 (13.044710453406 yrs)
Last Updated: Jul 12, 2016
Licenses: 3298-M (AR)

3298-C (AR)

Practice Information

Address: 60 W SUNBRIDGE DR

FAYETTEVILLE, AR, 727031822
Browse AR providers · Browse ZIP 72703
Phone: 4796951240
Fax: 4797504843
Primary Specialty: Clinical Social Worker
1041C0700X
Additional Specialty: Clinical Social Worker

Other Clinical Social Worker Providers in FAYETTEVILLE, AR

Name	Credential	NPI
MR. MICHAEL KENT STRACENER	LCSW	1124008545
MRS. MARY KATHERINE WILLIAMS	L.C.S.W.	1376501593
CATHERINE TOTTEN	LCSW	1699723437
AMBER ADNEY JACKSON	LCSW	1912944158
CAMERON AMANDA MAGNESS	LCSW	1629015771
TAMMI LYNN HARRIS	LCSW	1194762906

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.