Maren W. Deaver, LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014024 Issued in IL

Legal business name

MAREN W. DEAVER, LCSW PLLC

Practice address

2530 Crawford Ave Ste 219
Evanston, IL 60201-4959

Phone

(847) 840-9719

NPI assigned

Aug 22, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maren Deaver, LCSWNPI 1346572666

Title

Business Owner

Phone

(847) 840-9719

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• Maren W. Deaver, LCSW LLC Former legal business name
• Maren W. Deaver LCSW LLC Former legal business name
• Maren W. Deaver, LCSW PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maren W Deaver, LCSW

  • Clinical Social Worker
  • Wilmette, IL
  • NPI 1346572666
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1184024416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 GREGORY AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913236",
            "telephone_number": "847-840-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CRAWFORD AVE STE 219",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014959",
            "telephone_number": "847-840-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAREN W. DEAVER, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "DEAVER",
        "authorized_official_first_name": "MAREN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "847-840-9719",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "149.014024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maren W. Deaver, LCSW LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maren W. Deaver LCSW LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Maren W. Deaver LCSW LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Maren W. Deaver, LCSW LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Maren W. Deaver, LCSW PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adam Margol, PSY.D.
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• Maria Borzecka, DDS, Corp
• Carlos Alberto Marin, MD
• Mark D Gendleman MD SC

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.