Mary Soisson Miller, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0008529 Issued in OH

Practice address

550 North Main Street
Suite B
Springboro, OH 45066-7520

Phone

(937) 748-8201

Fax

(937) 748-8206

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Pittsburgh School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A New Leaf Psychotherapy LLC

  • Clinical Social Worker
  • Springboro, OH
  • NPI 1326646266

  Clinical

  NPD (past)
• Dong S. Moon,M.D.,Inc.

  • Psychiatry Physician
  • Centerville Finance, OH
  • NPI 1134271752
  NPD (past)
• Dong S. Moon,M.D.Inc.,

  • Psychiatry Physician
  • Centerville, OH
  • NPI 1780779819

  Clinical

  NPD (past)
• Susan K Kahle PHD LLC

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1689979353
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1194892976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NORTH MAIN STREET",
            "address_2": "SUITE B",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667520",
            "telephone_number": "937-748-8201",
            "fax_number": "937-748-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NORTH MAIN STREET",
            "address_2": "SUITE B",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667520",
            "telephone_number": "937-748-8201",
            "fax_number": "937-748-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARY",
        "middle_name": "SOISSON",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0008529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Apn Consultants LLC
• Midwest Behavioral Care
• Midwest Spine Interventionalist,LLC
• Cynthia B Miller, RN LMT
• Joshua Miller, LPC
• Rebecca Miller, PT
• Traci Mills, M.S., CCC-SLP
• A Reza Miremadi, M.D., DDS., LLC
• Mixpill Compounding Pharmacy
• Michael S. Monto, DMD, MD

• All providers in Springboro, OH
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.

Verify at the official NPI Registry.