Individual provider Active NPI

Harold Seward Esty IV, MSW, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1881325645
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007631A Issued in IN
Practice address
1566 S Grand Ave
Evansville, IN 47713-2638
Phone
(812) 430-5611
NPI assigned
Jun 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 34007631A IN Primary

Addresses

Primary practice location

1566 S Grand Ave
Evansville, IN 47713-2638

Mailing address

4711 Leah Dr
Evansville, IN 47711-6401
Phone (812) 430-5611

Other practice location 1

4711 Leah Dr
Evansville, IN 47711-6401
Phone (812) 430-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220903000172 IN Practitioner - Clinical Social Worker 8820470040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graham and Esty LLCGroup PAC ID 7911389135, 3 clinicians

Practice addresses (Care Compare)

1566 S Grand Ave
Missing Peace
Evansville, IN 47713-2638
Phone (812) 746-8785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Graham & Esty LLC Clinical CurrentSince Mar 29, 2022 Accepting new patients

Locations

101 N Plaza East Blvd
Ste 312
Evansville, IN 47715
Phone (812) 550-9219

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1881325645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 LEAH DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477116401",
            "telephone_number": "812-430-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 S GRAND AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132638",
            "telephone_number": "812-430-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Leah Dr",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477116401",
            "country_code": "US",
            "telephone_number": "812-430-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTY",
        "first_name": "HAROLD",
        "middle_name": "SEWARD",
        "name_suffix": "IV",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007631A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.