Active NPI
Yvette Goldurs, LISW-S
- Clinical Social Worker
- Rocky River, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-5410
- Practice address
- 20575 Center Ridge Rd Ste 119
Rocky River, OH 44116-3422 - Phone
- (216) 526-4208
- Fax
- (216) 274-6388
- NPI assigned
- Oct 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-5410 | OH | Primary |
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
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
20575 Ctr Ridge Rd
Suite 119
Rocky River, OH 44116-3422
Phone (216) 526-4208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-5410 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yvette Goldurs, Lisw, LLC | Clinical | Current | Accepting new patients |
Locations
21380 Lorain Rd
Ste 102
Fairview Park, OH 44126
Phone (216) 395-7523
20575 Center Ridge Rd
Ste 119
Rocky River, OH 44116
Phone (216) 526-4208
20620 John Carroll Blvd
Ste 202
University Hts, OH 44118
Phone (216) 395-7144
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.
-
- Clinical Social Worker
- Rocky River, OH
- NPI 1598327751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717891200000",
"number": "1992058267",
"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",
"fax_number": "216-274-6388"
},
{
"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": "216-274-6388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDURS",
"first_name": "YVETTE",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2024-06-09",
"certification_date": "2024-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-5410",
"primary": true
}
],
"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 Jun 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.