Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wild Fern Clinical Therapy Pllc

Clinical Social Worker in Berwyn, IL · enumerated 2024 · authorized official Elise Johnston Dumerauf, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346084829

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Registry record

Entity type Organization (Type 2)

Legal business name Wild Fern Clinical Therapy Pllc

Practice address 3620 Wesley Ave, Berwyn, IL, 60402

Phone (616) 212-8957

Enumeration date Jun 20, 2024

Last updated in NPPES Aug 25, 2024

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Elise Johnston Dumerauf

Title Owner

Phone (616) 212-8957

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Wild Fern Clinical Therapy Pllc?

Wild Fern Clinical Therapy Pllc is registered in NPPES as a Clinical Social Worker (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Elise Johnston Dumerauf Clinical Social Worker · Berwyn, IL NPI 1508348343

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-25.