Vicki A. Elsoffer, L.I.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I-167 Issued in OH

Practice address

29125 Chagrin Blvd
Pepper Pike, OH 44122-4622

Phone

(216) 292-3999

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

New York University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jewish Family Service AssociationGroup PAC ID 8729990023, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Jewish Family Service Association

  • Community/Behavioral Health Agency
  • Pepper Pike, OH
  • NPI 1659445153
  Medicare reassignment Care Compare group NPD
• Jewish Family Service Association

  • Home Health Agency
  • Pepper Pike, OH
  • NPI 1528192655
  NPD
• Planned Lifetime Assistance Network of Northeast Ohio, Inc.

  • Voluntary or Charitable Agency
  • Cleveland, OH
  • NPI 1871520767
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1154478394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29125 CHAGRIN BLVD",
            "address_2": "SUITE 102",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441223751",
            "telephone_number": "216-292-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29125 CHAGRIN BLVD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441224622",
            "telephone_number": "216-292-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 Lee Blvd",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441181268",
            "country_code": "US",
            "telephone_number": "216-321-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSOFFER",
        "first_name": "VICKI",
        "middle_name": "A.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I-167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Elizabeth Dubaniewicz, D.D.S.
• Allison Effron, MD
• Elevate Learning
• Leejoy Leejoy Ellis, ND
• Tracey Elsberry
• Erika Rosen LPCC LLC
• David Etling
• Madeleine Evans, SWT LICENSE
• Jeanine M Farone, LISW-SUPV
• Brooke Fassnacht

• Social Worker in Pepper Pike, OH
• Providers in Pepper Pike, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.