Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARIAH RHEA FORK LCSW
NPI 1134030877
Social Worker - Clinical in East Saint Louis, IL

Active since September 14, 2026
5900 BOND AVE, EAST SAINT LOUIS, IL 62207(618) 332-3060 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mariah Rhea Fork Lcsw NPPES

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

MARIAH RHEA FORK LCSW (NPI 1134030877) is an individual clinical provider in East Saint Louis, Illinois, licensed in Illinois (149032075) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1134030877
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIAH RHEA FORKCredential: LCSW
Location Address5900 BOND AVEEast Saint Louis, IL 62207-2326
Mailing Address5900 Bond AveEast Saint Louis, IL 62207-2326 · (618) 332-3060
Sole ProprietorNo
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
NPI 1134030877 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 · 149032075
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.
5900 BOND AVE, East Saint Louis, IL 62207

Other Providers at the Same Location NPPES 20

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

Non-emergency Medical Transport (VAN)
5900 BOND AVE
CAHOKIA HEIGHTS, IL 62207
Registered Nurse (Psychiatric/Mental Health)
5900 BOND AVE
CAHOKIA HEIGHTS, IL 62207
Social Worker (Clinical)
5900 BOND AVE
CENTREVILLE, IL 62207
Radiology (Diagnostic Radiology)
5900 BOND AVE
EAST SAINT LOUIS, IL 62207
Dietitian, Registered
5900 BOND AVE
EAST SAINT LOUIS, IL 62207
Nurse Practitioner (Adult Health)
5900 BOND AVE
CENTREVILLE, IL 62207
Emergency Medicine
5900 BOND AVE
EAST SAINT LOUIS, IL 62207
General Acute Care Hospital
5900 BOND AVE
CAHOKIA HEIGHTS, IL 62207

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 Mariah Fork's NPI number?

The NPI number for Mariah Fork is 1134030877. It was assigned to this individual provider in the NPPES registry on September 14, 2026.

Where is Mariah Fork located?

Mariah Fork practices at 5900 Bond Ave, East Saint Louis, IL 62207. The listed phone number is (618) 332-3060.

What is Mariah Fork'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 Mariah Fork was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.