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THIRD WAVE WELLNESS, LLC
NPI 1205469277
Social Worker - Clinical in Evanston, IL

Active since February 19, 2020
636 CHURCH ST STE 418, EVANSTON, IL 60201(773) 484-7140 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Third Wave Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIRD WAVE WELLNESS, LLC (NPI 1205469277) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since February 2020. The organization lists Elizabeth Bierbaum Clarke, Owner / Clinician, as its authorized official.

NPPES Registry Identity

NPI1205469277
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHIRD WAVE WELLNESS, LLC
Location Address636 CHURCH ST STE 418Evanston, IL 60201-4580
Mailing Address636 Church St Ste 418Evanston, IL 60201-4580 · (773) 484-7140
Phone(773) 484-7140
Organization SubpartYes
Authorized OfficialElizabeth Bierbaum ClarkeOwner / Clinician · (773) 484-7140
Enumeration DateFebruary 19, 2020
✔ NPI 1205469277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
636 CHURCH ST STE 418, Evanston, IL 60201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH BIERBAUM CLARKE LCSW
Social Worker (Clinical)
636 CHURCH ST STE 418
EVANSTON, IL 60201
Cook County (773) 484-7140
MS. COLLEEN CAREY M.S.W., L.C.S.W.
Social Worker (Clinical)
636 CHURCH ST STE 418
EVANSTON, IL 60201
Cook County (847) 946-2428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Third Wave Wellness, LLC's NPI number?

The NPI number for Third Wave Wellness, LLC is 1205469277. It was assigned to this organization in the NPPES registry on February 19, 2020.

Where is Third Wave Wellness, LLC located?

Third Wave Wellness, LLC is located at 636 Church St Ste 418, Evanston, IL 60201. The listed phone number is (773) 484-7140.

What is Third Wave Wellness, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Third Wave Wellness, LLC was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.