Individual provider Active NPI

Kerstin Marie Yoder, MSSA, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1053442822
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0500041 Issued in OH
Practice address
11890 Fairhill Rd
Cleveland, OH 44120-1053
Phone
(216) 791-8000
Fax
(216) 373-2020
NPI assigned
Mar 7, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 0500041 OH Primary

Addresses

Primary practice location

11890 Fairhill Rd
Cleveland, OH 44120-1053

Mailing address

11052 Magdala Dr
Parma, OH 44130-1544
Phone (440) 781-7609

Other practice location 1

303 E Bagley Rd
Berea, OH 44017-2040
Phone (440) 260-8359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170221001909 OH Practitioner - Clinical Social Worker 2769766609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eldercare Services Institute,LLCGroup PAC ID 4789762840, 3 clinicians

Practice addresses (Care Compare)

11890 Fairhill Rd
Cleveland, OH 44120-1053
Phone (216) 791-8000

27076 Bagley Rd
Olmsted TWP, OH 44138-1104
Phone (440) 816-8380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0500041OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group, Inc CurrentSince Mar 16, 2026 Accepting new patients
Southwest General Medical Group Inc CurrentSince Mar 16, 2026 Accepting new patients

Locations

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

27076 Bagley Rd
Olmsted Twp, OH 44138
Phone (440) 816-5410

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053442822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11052 MAGDALA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301544",
            "telephone_number": "440-781-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 FAIRHILL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201053",
            "telephone_number": "216-791-8000",
            "fax_number": "216-373-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Bagley Rd",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440172040",
            "country_code": "US",
            "telephone_number": "440-260-8359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "KERSTIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSSA, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0500041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.