MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW) – Clinical Social Worker, NPI 1902975048

MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW) is a healthcare provider. based in Brookfield, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, ACSW, MSW. They hold a License No. 004695 (MO). The NPI Number for MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW) is 1902975048

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW)
NPI
1902975048
Phone
(660) 258-7810
Address
1 Center Dr
Enumeration Date
6 November 2006
Last Update Date
11 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165874900
Graduation Year
1987 (39 years ago)
PAC ID
0941373641
Professional Enrollment ID
I20080714000312
Address ID
MO641112655KA3100XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW)

  • 1 Center Dr

    Suite 2

    Brookfield, MO 646282056

    Phone: (660) 258-7810

    Fax: (660) 258-7810

    Type: Location

  • Castle Clinton National Monument, Manhattan Community Board 1, Manhattan, New York County, New York, United States

    CLINTON, MO 647358804

    Phone: (660) 885-8131

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080714000312IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64628)

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Reviews

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Frequently asked questions

How do payers reference MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW)?
For MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW), use NPI 1902975048 as the unique 10-digit identifier.
Active or inactive — what applies to MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW)?
You should see MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW) as active in CMS-hosted NPPES data.
What expertise is attributed to MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW)?
MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW) associated with Brookfield?
Public fields place MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW) around Brookfield, Missouri. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MS. CHRISTINE D KORNBLUTH (LCSW, ACSW, MSW) is noted as November 6, 2006 where the registry provides it.

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