MARI EVONNE KONG LCSW
NPI 1093044455
Social Worker - Clinical in Rockford, IL

Active since December 14, 2009
5301 E STATE ST STE 101, ROCKFORD, IL 61108(815) 397-8500(815) 397-8588 Get Directions Write a Review

NPPES record last updated: December 14, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Social Worker
  • Clinical

About MARI KONG

This page provides the complete NPI Profile along with additional information for Mari Kong, a provider established in Rockford, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1093044455 assigned on December 2009. The practitioner's primary taxonomy code is 1041C0700X with license number 149.005213 (IL). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1093044455 Verify this NPI
Provider Name
MARI EVONNE KONG LCSW
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
5301 E STATE ST STE 101 ROCKFORD, IL 61108
Location Phone
(815) 397-8500
Location Fax
(815) 397-8588
Mailing Address
5301 E STATE ST STE 101 ROCKFORD, IL 61108
Mailing Phone
(815) 397-8500
Mailing Fax
(815) 397-8588
Is Sole Proprietor?
No
Enumeration Date
12-14-2009
Last Update Date
12-14-2009
Code Navigator

A clinical social worker like Mari Kong is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
149.005213
License State
IL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

1605-123 (WI)
2106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

612-124 (WI)

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
5301 E STATE ST STE 101
ROCKFORD, IL 61108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093044455, enumerated as an "individual" on December 14, 2009.

The provider is located at 5301 E STATE ST STE 101 ROCKFORD, IL 61108 and the phone number is (815) 397-8500.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.