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

Mixi Lopez-Corbin

Individual provider Clinical Social Worker · NPI 1417572603

Mixi Lopez-Corbin is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois and Massachusetts. Registered with an NPI since 2020.

Licensed in
IL, MA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

6501 S Promontory Dr
Chicago, IL 60649-1003
Phone: (800) 770-2232
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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 149.022368 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 122589-SW-LICSW (MA)

Record details

NPI number1417572603
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020

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