WILD FERN CLINICAL THERAPY PLLC
NPI 1346084829
Social Worker - Clinical in Berwyn, IL
About Wild Fern Clinical Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILD FERN CLINICAL THERAPY PLLC (NPI 1346084829) is a healthcare organization registered as a clinical in Berwyn, Illinois and active in the NPI registry since June 2024. The organization lists Elise Johnston Dumerauf, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wild Fern Clinical Therapy PLLC's NPI number?
The NPI number for Wild Fern Clinical Therapy PLLC is 1346084829. It was assigned to this organization in the NPPES registry on June 20, 2024.
Where is Wild Fern Clinical Therapy PLLC located?
Wild Fern Clinical Therapy PLLC is located at 3620 Wesley Ave, Berwyn, IL 60402. The listed phone number is (616) 212-8957.
What is Wild Fern Clinical Therapy PLLC'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 Wild Fern Clinical Therapy PLLC was last updated on August 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.