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Ty Wakefield, LCSW
NPI 1386005338 · on the registry since 2016
Practice
- Address
- 75 Executive Dr Ste 315d
Aurora, IL 60504 - Phone
- (630) 949-3138
- Organisation at this address
- Evolve Care Inc.
Dpt Holdings Llc
Evolve Care Inc.
Np-Md Practice Pc
Light South Winds, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Also registered as
- Counselor
Mental Health Counselor
Case Manager/Care Coordinator
Community Health Worker
Health Educator - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois