Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Kissig

Individual provider Counselor · NPI 1558710087

Samantha Kissig is a Clinical Social Worker in Willoughby Hills, Ohio. Qualified in 2018, 8 years ago. Practices with Crossroads Health, an 11-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2016
Specialties on file
2

Practice location Address checks out

34950 Chardon Rd Ste 210
Willoughby Hills, OH 44094-9162
Phone: (216) 505-9536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Clinical Social Worker Taxonomy 1041C0700X · Licence I.2102575-SUPV (OH)

Record details

NPI number1558710087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2016
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Crossroads Health — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Willoughby Hills