Maranda Easton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.026043 Issued in IL

Practice address

826 Madison St
Evanston, IL 60202-2207

Phone

(562) 706-0292

NPI assigned

Nov 30, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1922874973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W AINSLIE ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403402",
            "telephone_number": "562-706-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MADISON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022207",
            "telephone_number": "562-706-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON",
        "first_name": "MARANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michal Rachel Dymarsky, DPT
• Nicole Dyme, D.D.S.
• Tijen Dyson, LCSW
• Elene Dzodzuashvili
• Sandra Elizabeth Eastman, LCSW
• John Warren Ebersole, M.D.
• John H. Ebihara, MD
• Anne Eble
• Jacob Seth Ecanow, MD
• Michael Dale Eckhardt, MD

• 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 Nov 30, 2023; 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.