Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649194044 Individual Practitioner Female Practitioner

Mallory Robertson

Social Worker • Champaign, IL

Professional Overview & Biography Verified Profile Summary

Mallory Robertson is a registered healthcare professional specializing in Social Worker in Champaign, IL. Practice services are available at 1802 FOX DR STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1802 Fox Dr Ste D

Champaign, IL 618207280

Telephone 2177660258
Fax 2178834030
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
271 Specialists

Practicing in Champaign, IL (5960 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-07
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 150119341

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Keona Johnson

Social Worker - Clinical

NPI 1023898004
Jessica Parks , MSW

Social Worker

NPI 1033929559

Master of Social Work

Jeremy Smith , LSW

Social Worker

NPI 1174094197

Licensed Social Worker

Tamelyn Motley , LPC

Counselor - Professional

NPI 1275323644

Licensed Professional Counselor

Daniel Rodriguez

Social Worker

NPI 1457132482
NPI 1508685397

Master of Social Work, Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 07, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2026

Registered at 1802 FOX DR STE D, CHAMPAIGN, IL 618207280 (Tel: 2177660258)

📍
Updated Business Mailing Address August 07, 2026

Registered at 1802 FOX DR STE D, CHAMPAIGN, IL 618207280 (Tel: 2177660258)

👤
Provider Name / Credentials Updated August 07, 2026

Recorded as MALLORY ROBERTSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2026

Social Worker (License #150119341 in IL)

🟢
Initial NPI Registration & Enumeration August 07, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649194044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2026
Last Update: August 07, 2026
Sole Proprietor: No

Mailing Address

1802 Fox Dr Ste D

Champaign, IL 618207280

Phone: 2177660258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.