Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sheila Jo Kornblum, LCSW

Individual provider Social Worker · NPI 1144400912

Sheila Jo Kornblum, LCSW is a Clinical Social Worker in Bentonville, Arkansas. Qualified in 2005, 21 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
21
Licensed in
AR
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

609 SW 8th St Ste 600
Bentonville, AR 72712-7886
Phone: (479) 418-1087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW 2224-C (AR)
Social Worker Taxonomy 104100000X

Record details

NPI number1144400912
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 9, 2007
Last updated in NPPESFebruary 26, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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