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NPI Code Detail

MEDICARE: MAGGIE EARANKY LCSW

MEDICARE: MAGGIE EARANKY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149022184IL
2104100000XSocial Worker6801094640MI

General Provider Information

NPI Number : 1093064701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE EARANKY LCSW
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST STE 100
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2099
Country : US
Telephone Number : 503-813-2000
Fax Number :
Provider Business Practice Location Address
First Line : 4318 S STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-3701
Country : US
Telephone Number : 773-285-9304
Fax Number : 773-564-3501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2012
Last Update Date : 08/19/2024

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Directions to “ MAGGIE EARANKY LCSW” Practice Location

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