| Todd J Esterburg, Lisw, Llc | |
|
20033 Detroit Rd Ste G North Ridge Annex Rocky River OH 44116-2400 | |
| (216) 224-9230 | |
| Not Available |
| Full Name | Todd J Esterburg, Lisw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20033 Detroit Rd Ste G, Rocky River, Ohio |
| Authorized Official Name and Position | Todd J Esterburg (OWNER) |
| Authorized Official Contact | 2162249230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd J Esterburg, Lisw, Llc 20033 Detroit Rd Ste G North Ridge Annex Rocky River OH 44116-2400 Ph: (216) 224-9230 | Todd J Esterburg, Lisw, Llc 20033 Detroit Rd Ste G North Ridge Annex Rocky River OH 44116-2400 Ph: (216) 224-9230 |
| NPI Number | 1750878476 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 7618231317 |
|---|---|
| Medicare Enrollment ID | O20180504001186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750878476 | NPI | - | NPPES |
| 0172967 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Todd J Esterburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912229311 PECOS PAC ID: 4789948480 Enrollment ID: I20180504001307 |
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