Search › Illinois › 1041C0700X
Mariah Fork, LCSW
NPI 1134030877 · on the registry since 2026
Practice
- Address
- 5900 Bond Ave
East Saint Louis, IL 62207 - Phone
- (618) 332-3060
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois