Individual provider Active NPI

Esther McDonough, LCSW

  • Clinical Social Worker
  • Cape Coral, FL
National Provider Identifier
1689854580
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 11278 Issued in FL
Practice address
1314 Cape Coral Pkwy E
322
Cape Coral, FL 33904-9696
Phone
(239) 471-2928
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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 SW 11278 FL Primary

Addresses

Primary practice location

1314 Cape Coral Pkwy E
322
Cape Coral, FL 33904-9696

Mailing address

1314 Cape Coral Pkwy E
322
Cape Coral, FL 33904-9696
Phone (239) 471-2928

Other names 1

  • Ms. Esther Dutro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131105000612 FL Practitioner - Clinical Social Worker 8921130964 Practice locations: Cape Coral, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3006 S del Prado Blvd
Suite C
Cape Coral, FL 39904-7231
Phone (239) 471-2928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 11278FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Esther McDonough Dba Crossworks Clinical PastSince Feb 1, 2011 Accepting new patients

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1689854580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CAPE CORAL PKWY E",
            "address_2": "322",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049696",
            "telephone_number": "239-471-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CAPE CORAL PKWY E",
            "address_2": "322",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049696",
            "telephone_number": "239-471-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 11278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "DUTRO",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.