Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Robertson

Individual provider Social Worker · NPI 1649194044

Mallory Robertson is a Social Worker in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1802 Fox Dr Ste D
Champaign, IL 61820-7280
Phone: (217) 766-0258
Fax: (217) 883-4030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150119341 (IL)

Record details

NPI number1649194044
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address1802 Fox Dr Ste D, Champaign, IL 61820-7280

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