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SOPHIA KISER
NPI 1164198115
Social Worker - Clinical in Cincinnati, OH

Active since August 19, 2021PECOS Enrolled
1501 MADISON RD, CINCINNATI, OH 45206(513) 354-5200(513) 354-7115 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sophia Kiser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA KISER (NPI 1164198115) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (I.2608166) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164198115
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSOPHIA KISER
Location Address1501 MADISON RDCincinnati, OH 45206
Mailing Address1501 Madison RdCincinnati, OH 45206 · (513) 354-5200 · Fax (513) 354-7115
Phone(513) 354-5200
Fax(513) 354-7115
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 19, 2021
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1164198115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.2608166
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License S2106710 (OH)
1501 MADISON RD, Cincinnati, OH 45206
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Other Identifiers 1

Other00000OH · Licensure Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Kiser is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507321643
PECOS Enrollment IDI20260720002988
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Kiser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater Cincinnati Behavioral Health Services
Same address
Family Medicine
1501 MADISON RD
Cincinnati, OH 45206
  • Reassigned Medicare billing, Ohio enrollment
  • 74 clinicians in this Medicare group
NPI 1871486183 (513) 354-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA G JORDAN
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
DAVID TROXELL
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-7100
MICHAEL S MCCARTHY
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
PREET A PATEL QMHS BA
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
PEYTON RASMUSSEN QMHS
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
ABRISJAH COLLINS
Case Manager/Care Coordinator
1501 MADISON RD
CINCINNATI, OH 45206
Hamilton County (513) 354-5200
SALLY PARTIN CPRS
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
JAMIE AYER CPRS, CDCA
Peer Specialist
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Kiser's NPI number?

The NPI number for Sophia Kiser is 1164198115. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Sophia Kiser located?

Sophia Kiser practices at 1501 Madison Rd, Cincinnati, OH 45206. The listed phone number is (513) 354-5200.

What is Sophia Kiser's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sophia Kiser enrolled in Medicare?

Yes. Sophia Kiser is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Kiser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Kiser reassigns Medicare benefits to Greater Cincinnati Behavioral Health Services (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Kiser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Kiser accept?

Health plans from Anthem Blue Cross and Blue Shield list Sophia Kiser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophia Kiser was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.