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

MALLORY ROBERTSON
NPI 1649194044
Social Worker in Champaign, IL

Active since August 07, 2026
1802 FOX DR STE D, CHAMPAIGN, IL 61820(217) 766-0258(217) 883-4030 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Robertson NPPES

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

MALLORY ROBERTSON (NPI 1649194044) is an individual social worker in Champaign, Illinois, licensed in Illinois (150119341) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1649194044
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMALLORY ROBERTSON
Location Address1802 FOX DR STE DChampaign, IL 61820-7280
Mailing Address1802 Fox Dr Ste DChampaign, IL 61820-7280 · (217) 766-0258 · Fax (217) 883-4030
Phone(217) 766-0258
Fax(217) 883-4030
Sole ProprietorNo
Enumeration DateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1649194044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150119341
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1802 FOX DR STE D, Champaign, IL 61820
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Other Names 1

Former Name (1)Mallory Craion

Other Providers at the Same Location NPPES 3

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

LAWANDA RESHAWNA MCGEE LCSW
Social Worker (Clinical)
1802 FOX DR STE D
CHAMPAIGN, IL 61820
Champaign County (217) 418-3730
ENVISAGE COUNSELING SERVICES LLC
Counselor (Mental Health)
1802 FOX DR STE D
CHAMPAIGN, IL 61820
Champaign County (217) 418-3730
DANIEL RODRIGUEZ
Social Worker
1802 FOX DR STE D
CHAMPAIGN, IL 61820
Champaign County (217) 766-0258

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 Mallory Robertson's NPI number?

The NPI number for Mallory Robertson is 1649194044. It was assigned to this individual provider in the NPPES registry on August 7, 2026. The provider is also known as Mallory Craion.

Where is Mallory Robertson located?

Mallory Robertson practices at 1802 Fox Dr Ste D, Champaign, IL 61820. The listed phone number is (217) 766-0258.

What is Mallory Robertson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Mallory Robertson was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.