Active NPI
Yvette Goldurs, Lisw, LLC
- Clinical Social Worker
- Rocky River, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- YVETTE GOLDURS, LISW, LLC
- Practice address
- 20575 Center Ridge Rd Ste 119
Rocky River, OH 44116-3422 - Phone
- (216) 526-4208
- Fax
- (216) 274-6388
- NPI assigned
- Jul 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvette Goldurs, LISW-S
- Title
- Owner
- Phone
- (216) 526-4208
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
20575 Center Ridge Rd Ste 119
Rocky River, OH 44116-3422
Mailing address
3867 Glenwood Rd
Cleveland Heights, OH 44121-1649
Phone (216) 526-4208
Other practice location 1
20620 John Carroll Blvd Ste 202
University Heights, OH 44118-4540
Phone (216) 526-4208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20575 Center Ridge Rd
Ste 119
Rocky River, OH 44116
Phone (216) 526-4208
4325 Mayfield Rd
South Euclid, OH 44121
20620 John Carroll Blvd
Ste 202
University Hts, OH 44118
Phone (216) 395-7144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rocky River, OH
- NPI 1992058267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1598327751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3867 GLENWOOD RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441211649",
"telephone_number": "216-526-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20575 CENTER RIDGE RD STE 119",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163422",
"telephone_number": "216-526-4208",
"fax_number": "216-274-6388"
}
],
"practiceLocations": [
{
"address_1": "20620 John Carroll Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "University Heights",
"state": "OH",
"postal_code": "441184540",
"country_code": "US",
"telephone_number": "216-526-4208",
"fax_number": "216-526-4208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YVETTE GOLDURS, LISW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-08",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "GOLDURS",
"authorized_official_first_name": "YVETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-526-4208",
"authorized_official_credential": "LISW-S"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.