Provider Demographics
NPI:1083901920
Name:SESTITO, JOSEPH B (LISW-S)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:B
Last Name:SESTITO
Suffix:
Gender:M
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23210 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5462
Mailing Address - Country:US
Mailing Address - Phone:440-317-0641
Mailing Address - Fax:
Practice Address - Street 1:23210 CHAGRIN BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5462
Practice Address - Country:US
Practice Address - Phone:440-317-0641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRI.0007988-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical