Individual
EMMA ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PMH-C
Contact information
Practice address
3759 N RAVENSWOOD AVE STE 226C, CHICAGO, IL 60613-4088
(312) 487-1771
Mailing address
908 E 53RD ST # 908-1, CHICAGO, IL 60615-4345
(208) 301-1971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
06/08/2026
Last updated
06/15/2026
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