SearchIllinoisClinical Social Worker

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, Inc
Inferred 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