Individual provider Active NPI

Joseph B. Sestito, LISW-S

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1083901920
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0007988-SUPV Issued in PR
Practice address
23210 Chagrin Blvd
Suite 211
Beachwood, OH 44122-5462
Phone
(440) 317-0641
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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.0007988-SUPV PR Primary

Addresses

Primary practice location

23210 Chagrin Blvd
Suite 211
Beachwood, OH 44122-5462

Mailing address

23210 Chagrin Blvd
Suite 211
Beachwood, OH 44122-5462
Phone (440) 317-0641

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
I20111004000811 OH Practitioner - Clinical Social Worker 1951573526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humanistic Counseling Center LLCGroup PAC ID 9335044619, 28 clinicians

Practice addresses (Care Compare)

5555 Mayfield Rd
FL 2
Lyndhurst, OH 44124-2939
Phone (216) 839-2273

8221 Brecksville Rd
Suite 104
Brecksville, OH 44141-1390
Phone (216) 839-2273

PO Box
Suite 24242
Cleveland, OH 44124-0242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0007988-SUPVPRMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1083901920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23210 CHAGRIN BLVD",
            "address_2": "SUITE 211",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225462",
            "telephone_number": "440-317-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23210 CHAGRIN BLVD",
            "address_2": "SUITE 211",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225462",
            "telephone_number": "440-317-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESTITO",
        "first_name": "JOSEPH",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "I.0007988-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.