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SHANELLE MARIE KOROMA LPHA, LCSW
NPI 1497246896
Social Worker - Clinical in Urbana, IL

Active since May 22, 2018
2103 POND ST UNIT B, URBANA, IL 61801(708) 314-3291 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanelle Marie Koroma Lpha, Lcsw NPPES

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

SHANELLE MARIE KOROMA LPHA, LCSW (NPI 1497246896) is an individual clinical provider in Urbana, Illinois, licensed in Illinois (149.019771) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1497246896
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANELLE MARIE KOROMACredential: LPHA, LCSW
Location Address2103 POND ST UNIT BUrbana, IL 61801-6852
Mailing Address2103 Pond St Unit BUrbana, IL 61801-6852
Phone(708) 314-3291
Sole ProprietorYes
Enumeration DateMay 22, 2018
✔ NPI 1497246896 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 · 149.019771
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.
2103 POND ST UNIT B, Urbana, IL 61801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shanelle Koroma's NPI number?

The NPI number for Shanelle Koroma is 1497246896. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Shanelle Koroma located?

Shanelle Koroma practices at 2103 Pond St Unit B, Urbana, IL 61801. The listed phone number is (708) 314-3291.

What is Shanelle Koroma'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 Shanelle Koroma was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.