Mariah Rhea Fork, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149032075 Issued in IL

Practice address

5900 Bond Ave
East Saint Louis, IL 62207-2326

Phone

(618) 332-3060

NPI assigned

Sep 14, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1134030877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BOND AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622072326",
            "telephone_number": "618-332-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BOND AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622072326",
            "telephone_number": "618-332-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORK",
        "first_name": "MARIAH",
        "middle_name": "RHEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149032075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Felts
• Jeffrey Fields, RPH
• Wendy Fleming, RN
• Catina Demetris Floore
• Sylvia A. Florian, CNP
• Cherry Fowler
• Latoya D Frison
• Alicia Gant
• Myjal Garner, DNP, APRN, FNP-C
• Yohannes Ghidey, MD

• Clinical Social Worker in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.