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

Mary Derbish, LSW

Individual provider Clinical Social Worker · NPI 1003506924

Mary Derbish, LSW is a Clinical Social Worker in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

505 W University Ave Ste 202-203
Champaign, IL 61820-3915
Phone: (224) 232-8057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 150110706 (IL)

Record details

NPI number1003506924
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedMay 12, 2023
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023

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