Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Third Wave Wellness, LLC

Organization Clinical Social Worker · NPI 1205469277

Third Wave Wellness, LLC is a Clinical Social Worker in Evanston, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

636 Church St Ste 418
Evanston, IL 60201-4580
Phone: (773) 484-7140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1205469277
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThird Wave Wellness, LLC
Authorized official Elizabeth Clarke — Owner / Clinician · (773) 484-7140
NPI enumeratedFebruary 19, 2020
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing address636 Church St Ste 418, Evanston, IL 60201-4580

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