| Samantha Kissig, | |
|
34950 Chardon Rd Ste 210, Willoughby Hills, OH 44094-9162 | |
| (216) 505-9536 | |
| Not Available |
| Full Name | Samantha Kissig |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 34950 Chardon Rd Ste 210, Willoughby Hills, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558710087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | I.2102575-SUPV (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crossroads Health | 9638440241 | 11 |
| Entity Name | Crossroads Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356303911 PECOS PAC ID: 9638440241 Enrollment ID: O20170731003569 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Kissig, 34950 Chardon Rd Ste 210, Willoughby Hills, OH 44094-9162 Ph: (440) 596-9862 | Samantha Kissig, 34950 Chardon Rd Ste 210, Willoughby Hills, OH 44094-9162 Ph: (216) 505-9536 |
Mrs. Patricia Dejohn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28890 Chardon Rd, Willoughby Hills, OH 44092 Phone: 440-278-7103 | |
Mrs. Maria Lynn D'amico, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 34900 Chardon Rd Ste 200, Willoughby Hills, OH 44094 Phone: 216-468-5000 | |
Mrs. Gina Maria Sinito, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 35000 Chardon Rd Ste 210, Willoughby Hills, OH 44094 Phone: 440-951-5600 Fax: 440-951-1293 | |
Linda Cole, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 34950 Chardon Rd, Bldg 2 Ste 210, Willoughby Hills, OH 44094 Phone: 216-548-9885 | |
Jessica M Wiener, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34950 Chardon Rd Ste 202, Willoughby Hills, OH 44094 Phone: 440-510-5100 Fax: 440-510-5151 | |
Ayauna Sha-ron Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2785 Som Center Rd, Willoughby Hills, OH 44094 Phone: 216-278-0288 | |
Mrs. Nicole Lynn O'donnell, LPCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 2882 Cricket Ln, Willoughby Hills, OH 44092 Phone: 440-347-0716 |