Organization · Type 2 NPI

Three Fates LLC

Clinical Social Worker · Norton Shores, MI

NPI number 1821782400 Active

Practice location

3611 Henry St
Norton Shores, MI 49441-4705

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

9 other providers at this address

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NPI record

NPI: 1821782400
Entity type: Organization (Type 2)
Issued: Jun 6, 2023
Last updated: Mar 15, 2026
Status: Active

Other names

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Chaotic Good · doing business as
Chaotic Good Educate Heal Create · doing business as
Chaotic Good Educate Heal Create · doing business as

Authorized official

Rebecca Newman
Owner, LCSW
(231) 725-5857

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About NPI 1821782400

Three Fates LLC's National Provider Identifier is 1821782400, issued on Jun 6, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norton Shores, MI. The record was last updated on Mar 15, 2026.