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

Individual provider Social Worker · NPI 1841633674

Shelby L Bourne, LCSW is a Clinical Social Worker in Fayetteville, Arkansas. Qualified in 2012, 14 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
14
Licensed in
AR
In the registry since
2013
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

60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone: (479) 695-1240
Fax: (479) 750-4843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3298-C (AR)
Social Worker Taxonomy 104100000X · Licence 3298-M (AR)

Record details

NPI number1841633674
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESJuly 12, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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