Sophia Marie Kowatch, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

658 W Market St Ste 101
Lima, OH 45801-5604

Phone

(419) 222-1527

Fax

(419) 222-3586

NPI assigned

Dec 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/rurecoveryinc/r4/

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.

• Rise Up Recovery, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, OH
  • NPI 1235809807
  NPD (past)

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1609644152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-932-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W MARKET ST STE 101",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015604",
            "telephone_number": "419-222-1527",
            "fax_number": "419-222-3586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 West Market Street,",
            "address_purpose": "LOCATION",
            "city": "lima",
            "state": "OH",
            "postal_code": "45801",
            "country_code": "US",
            "telephone_number": "740-464-7437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWATCH",
        "first_name": "SOPHIA",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skowatch@rurecoveryinc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "309 West Market Street,",
            "city": "lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Koontz, MSW, LISW-S
• Angela Nicole Kopp, CDCA
• Ven Kottapalli, MD, CNSP
• Michael J. Koval, MD
• Zachary Kowal, MD
• Elisha Kozman
• Joseph Edward Kraynok, MSW, LSW
• Sarah E. Kreider, M.D.
• Lindsey Kremer, OD
• Debora Krendl

• Social Worker in Lima, OH
• Providers in Lima, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.