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MARY DERBISH LSW
NPI 1003506924
Social Worker - Clinical in Champaign, IL

Active since May 12, 2023PECOS Enrolled
505 W UNIVERSITY AVE STE 202-203, CHAMPAIGN, IL 61820(224) 232-8057 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Derbish Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY DERBISH LSW (NPI 1003506924) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (150110706) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003506924
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY DERBISHCredential: LSW
Location Address505 W UNIVERSITY AVE STE 202-203Champaign, IL 61820-3915
Mailing Address505 W University Ave Ste 202-203Champaign, IL 61820-3915 · (224) 232-8057
Phone(224) 232-8057
Sole ProprietorNo
Enumeration DateMay 12, 2023
NPPES CertifiedMay 12, 2023
✔ NPI 1003506924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 150110706
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
505 W UNIVERSITY AVE STE 202-203, Champaign, IL 61820
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Derbish Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Derbish's NPI number?

The NPI number for Mary Derbish is 1003506924. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Mary Derbish located?

Mary Derbish practices at 505 W University Ave Ste 202-203, Champaign, IL 61820. The listed phone number is (224) 232-8057.

What is Mary Derbish's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Derbish enrolled in Medicare?

Yes. Mary Derbish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Derbish was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.