Individual provider · Type 1 NPI

Mariah Rhea Fork, LCSW

Clinical Social Worker · East St. Louis, IL

NPI number 1134030877 Active

Practice location

5900 Bond Ave
East St. Louis, IL 62207-2326

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149032075 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

25 other providers at this address

Other clinical social worker providers in East St. Louis

See all in East St. Louis →

About NPI 1134030877

Mariah Rhea Fork, LCSW's National Provider Identifier is 1134030877, issued on Sep 14, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East St. Louis, IL. The record was last updated on Sep 14, 2026.