Individual provider · Type 1 NPI
Shanelle Marie Koroma, LPHA, LCSW
Clinical Social Worker · Urbana, IL
Practice location
2103 Pond St Unit B
Urbana, IL 61801-6852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.019771 (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…
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About NPI 1497246896
Shanelle Marie Koroma, LPHA, LCSW's National Provider Identifier is 1497246896, issued on May 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Urbana, IL. The record was last updated on May 22, 2018.