| Maren W. Deaver, Lcsw Pllc | |
|
2530 Crawford Ave Ste 219 Evanston IL 60201-4959 | |
| (847) 840-9719 | |
| Not Available |
| Full Name | Maren W. Deaver, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2530 Crawford Ave Ste 219, Evanston, Illinois |
| Authorized Official Name and Position | Karen Habel (BUSINESS ASSISTANT) |
| Authorized Official Contact | 7084488178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maren W. Deaver, Lcsw Pllc 1410 Gregory Ave Wilmette IL 60091-3236 Ph: (847) 840-9719 | Maren W. Deaver, Lcsw Pllc 2530 Crawford Ave Ste 219 Evanston IL 60201-4959 Ph: (847) 840-9719 |
| NPI Number | 1184024416 |
|---|---|
| Provider Enumeration Date | 08/22/2014 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 7315260197 |
|---|---|
| Medicare Enrollment ID | O20141231001345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184024416 | NPI | - | NPPES |
| 149.014024 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.014024 (Illinois) | Primary |
| Provider Name | Maren W Deaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346572666 PECOS PAC ID: 9133306087 Enrollment ID: I20110602000297 |
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