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

Individual provider Clinical Social Worker · NPI 1497246896

Shanelle Marie Koroma, LPHA, LCSW is a Clinical Social Worker in Urbana, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
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

2103 Pond St Unit B
Urbana, IL 61801-6852
Phone: (708) 314-3291
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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 149.019771 (IL)

Record details

NPI number1497246896
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPHA , LCSW
Sole proprietorYes
NPI enumeratedMay 22, 2018
Last updated in NPPESMay 22, 2018

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