Individual provider Active NPI

Esther Vanderwal, LCSW-C

  • Clinical Social Worker
  • Leonardtown, MD
National Provider Identifier
1659751220
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16047 Issued in MD
Practice address
22655 Washington St.
P.O. Box 1831
Leonardtown, MD 20650
Phone
(301) 690-8008
NPI assigned
Jun 8, 2015
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107185 TX
Clinical Social Worker 1041C0700X 16047 MD Primary

Addresses

Primary practice location

22655 Washington St.
P.O. Box 1831
Leonardtown, MD 20650

Mailing address

PO Box 1831
Leonardtown, MD 20650-1831
Phone (301) 690-8008

Other practice location 1

4412 74th St Ste F100
Lubbock, TX 79424-2316
Phone (210) 858-5898

Other practice location 2

306 W Sunset Rd Ste 117
San Antonio, TX 78209-1730
Phone (210) 858-5898

Other names 1

  • Esther Palma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151219000022 MD Practitioner - Clinical Social Worker 8325349152 Reassigns benefits to 1 organization
I20221107003256 TX Practitioner - Clinical Social Worker 8325349152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Place LLCGroup PAC ID 2860809480, 13 clinicians

Practice addresses (Care Compare)

22655 Washington St
Leonardtown, MD 20650-3848
Phone (301) 690-8008

4412 74TH St
Lubbock, TX 79424-2328
Phone (210) 858-5898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107185TXMDClinical Social Worker
16047MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Place, LLC Clinical CurrentSince Mar 1, 2021 Accepting new patients

Locations

168 Main St
Prince Frederick, MD 20678
Phone (301) 690-8008

4412 74th St
Lubbock, TX 79424
Phone (210) 858-5898

4412 74th St
Ste F100
Lubbock, TX 79424
Phone (210) 858-5898

306 W Sunset Rd
Ste 117
San Antonio, TX 78209
Phone (210) 858-5898

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, 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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1659751220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1831",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206501831",
            "telephone_number": "301-690-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22655 WASHINGTON ST.",
            "address_2": "P.O. BOX 1831",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-690-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4412 74th St Ste F100",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794242316",
            "country_code": "US",
            "telephone_number": "210-858-5898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 W Sunset Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782091730",
            "country_code": "US",
            "telephone_number": "210-858-5898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERWAL",
        "first_name": "ESTHER",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107185",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "PALMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.