Individual provider Active NPI

Todd J Esterburg, LISW

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1912229311
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1101255 Issued in OH
Practice address
20033 Detroit Rd Ste G
North Ridge Annex
Rocky River, OH 44116-2400
Phone
(216) 224-9230
NPI assigned
Feb 26, 2010
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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 I.1101255 OH Primary

Addresses

Primary practice location

20033 Detroit Rd Ste G
North Ridge Annex
Rocky River, OH 44116-2400

Mailing address

20033 Detroit Rd Ste G
North Ridge Annex
Rocky River, OH 44116-2400
Phone (216) 224-9230

Other identifiers 1

IdentifierTypeStateIssuer
0172967MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180504001307 OH Practitioner - Clinical Social Worker 4789948480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20033 Detroit Rd N Ridge
Annex Suite G
Rocky River, OH 44116-2400
Phone (216) 224-9230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1101255OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Todd J Esterburg, Lisw, LLC CurrentSince Mar 1, 2018 Accepting new patients

Locations

20033 Detroit Rd
Ste G
Rocky River, OH 44116
Phone (216) 224-9230

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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1912229311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20033 DETROIT RD STE G",
            "address_2": "NORTH RIDGE ANNEX",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162400",
            "telephone_number": "216-224-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20033 DETROIT RD STE G",
            "address_2": "NORTH RIDGE ANNEX",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162400",
            "telephone_number": "216-224-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTERBURG",
        "first_name": "TODD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1101255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172967",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.