ALEXIS KORBAR


Address: 2601 W Main St, Carbondale, IL 62901-1031
Phone: 6185495361

ALEXIS KORBAR (NPI# 1609424399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609424399
Entity Type Individual
Full Name ALEXIS KORBAR
Credential LCSW
Practice Address 2601 W Main St
Carbondale
IL 62901-1031
Mailing Address Po Box 3988
Carbondale
IL 62902-3988
Practice Telephone 6185495361
Practice Fax Number 6183514878
Mailing Telephone 6184575200
Mailing Fax Number 6185290586
Enumeration Date 2019-08-27
Last Update Date 2019-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149021507 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 Pin Oak Dr, Carterville, IL 629181600 6189853333 6189851318

Office Location

Street Address 2601 W MAIN ST
City CARBONDALE
State IL
Zip Code 62901-1031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548261399 Jeffrey M Lehman Allergy & Immunology 2601 W Main St, Carbondale, IL 62901-1031 2005-08-02
1043846421 Lindsay B Casolari Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2020-03-18
1194367318 Jessica Oakley Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2019-10-09
1184196883 Leslie Ann Hickman Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2018-12-19
1679041685 Kirsten Anne Beyers Social Worker 2601 W Main St, Carbondale, IL 62901-1031 2018-11-07
1457834178 Brittany Elizabeth Pierce Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2018-09-09
1306322110 Katharine Johnson Social Worker 2601 W Main St, Carbondale, IL 62901-1031 2018-07-15
1437699147 Gina Gladson Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2017-02-28
1902349863 Sarah Elizabeth Ruth Shannon Nurse Practitioner 2601 W Main St, Carbondale, IL 62901 2016-11-28
1497108971 Jonya Lockart Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2016-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598118291 Junie Kacer Social Worker 23 Route 6 Roosevelt Hwy, Carbondale, PA 18407-1461 2016-07-18
1467824987 Amanda Sneed Social Worker 1257 E Walnut St Ste 1, Carbondale, IL 62901-5003 2015-10-23
1487075354 Laura Dreuth Social Worker 105 N Tower Rd, Carbondale, IL 62901-1930 2013-12-19
1598008781 Shannon Casey Nelson Social Worker 802 S Skyline Dr, Carbondale, IL 62901-2406 2013-04-05
1245240811 Jennifer L Deloach Social Worker 8609 Giant City Rd, Suite F, Carbondale, IL 62902-6238 2006-08-08
1679552590 Carolee N Bier Social Worker 1110 Cedar Ct, Carbondale, IL 62901-5300 2006-01-10
1770585416 John M Boget Social Worker 1250 Cedar Ct, Carbondale, IL 62901-5334 2005-08-12
1306488127 Patricia Miller Social Worker 405 West Jackson, Carbondale, IL 62901 2019-10-14
1679041685 Kirsten Anne Beyers Social Worker 2601 W Main St, Carbondale, IL 62901-1031 2018-11-07
1790253268 Elsie Farough Social Worker 2311 S Illinois Ave, Carbondale, IL 62903-5912 2018-11-02
Find all providers in CARBONDALE

Competitor

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City CARBONDALE
Zip Code 62901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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