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

Mari Evonne Kong, LCSW

Individual provider Clinical Social Worker · NPI 1093044455

Mari Evonne Kong, LCSW is a Clinical Social Worker in Rockford, Illinois. Licensed in Illinois and Wisconsin. Registered with an NPI since 2009.

Licensed in
IL, WI
In the registry since
2009
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5301 E State St Ste 101
Rockford, IL 61108-2388
Phone: (815) 397-8500
Fax: (815) 397-8588
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.005213 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1605-123 (WI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 612-124 (WI)

Record details

NPI number1093044455
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 14, 2009
Last updated in NPPESDecember 14, 2009

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