Individual provider Active NPI

Kassandra R Sersig, LISW

  • Clinical Social Worker
  • West Salem, OH
National Provider Identifier
1972094829
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2608221 Issued in OH
Practice address
6601 Congress Rd
West Salem, OH 44287-9526
Phone
(330) 808-3008
NPI assigned
May 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2608221 OH Primary

Addresses

Primary practice location

6601 Congress Rd
West Salem, OH 44287-9526

Mailing address

6601 Congress Rd
West Salem, OH 44287-9526
Phone (330) 808-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2608221OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Children's Home of Ohio PastSince Jun 22, 2021 Accepting new patients
Circle Health Services Past Accepting new patients
Christian Children's Home of Ohio PastSince Jun 1, 2020 Accepting new patients
Brighter Tomorrow Community Services LLC PastSince Oct 1, 2021 Accepting new patients

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1972094829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CONGRESS RD",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442879526",
            "telephone_number": "330-808-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CONGRESS RD",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442879526",
            "telephone_number": "330-808-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERSIG",
        "first_name": "KASSANDRA",
        "middle_name": "R",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2608221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Salem, OH

Sources for this page

Verify at the official NPI Registry.