Carrie Grace Bradean, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018121 Issued in IL

Practice address

636 Church St Ste 415
Evanston, IL 60201-4580

Phone

(847) 440-4285

Fax

(847) 787-1836

NPI assigned

Sep 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Cox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carrie Bradean, PLLC

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1811448483
  NPD Authorized official

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1205385093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 415",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014580",
            "telephone_number": "847-440-4285",
            "fax_number": "847-787-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 415",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014580",
            "telephone_number": "847-440-4285",
            "fax_number": "847-787-1836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Oak Ave Ste 203N",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013697",
            "country_code": "US",
            "telephone_number": "847-440-4285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADEAN",
        "first_name": "CARRIE",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "COX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Alan Bass Boyle, MD
• Kathleen Elizabeth Boyle
• Thomas Boyle, PT, DPT
• John Bozeday, LCSW
• Brianna K Brackin, DPT
• Curtis Bradford, M.D.
• Michelle Nadine Brand, MA, CCC, SLP
• Carol Irene Branka, PAC
• Robert Brannick, PA-C
• Nicholas S Branock, LCSW

• 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 Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.