1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Social Worker
  6. NPI Profile

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: August 16, 2026.

About Mari Evonne Kong Lcsw NPPES

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

MARI EVONNE KONG LCSW (NPI 1093044455) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149.005213) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1093044455
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARI EVONNE KONGCredential: LCSW
Location Address5301 E STATE ST STE 101Rockford, IL 61108-2388
Mailing Address5301 E State St Ste 101Rockford, IL 61108-2388 · (815) 397-8500 · Fax (815) 397-8588
Phone(815) 397-8500
Fax(815) 397-8588
Sole ProprietorNo
Enumeration DateDecember 14, 2009
✔ NPI 1093044455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149.005213✔ Licensed in WI · 1605-123
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 612-124 (WI)
5301 E STATE ST STE 101, Rockford, IL 61108
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mari Evonne Kong Lcsw

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN ILLINOIS MEDICAL GROUP S. C.
Family Medicine
5301 E STATE ST STE 101
ROCKFORD, IL 61108
Winnebago County (815) 397-8500

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 Mari Kong's NPI number?

The NPI number for Mari Kong is 1093044455. It was assigned to this individual provider in the NPPES registry on December 14, 2009. The provider is also known as Mari Evonne Kong Lcsw.

Where is Mari Kong located?

Mari Kong practices at 5301 E State St Ste 101, Rockford, IL 61108. The listed phone number is (815) 397-8500.

What is Mari Kong's specialty?

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

When was this NPI record last updated?

The NPPES record for Mari Kong was last updated on December 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.