KIERSTEN MISRA MSW, LISW-S, LICDC
NPI 1780137950
Social Worker - Clinical in Toledo, OH

Active since July 25, 2016PECOS EnrolledAccepts Medicare Assignment
3131 EXECUTIVE PKWY STE 205, TOLEDO, OH 43606(419) 360-7026(419) 482-1262 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 26, 2023, Oct 17, 2022, Oct 6, 2020 and 1 more (4 updates tracked since 2019).

About Kiersten Misra Msw, Lisw-s, Licdc NPPES

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

KIERSTEN MISRA MSW, LISW-S, LICDC (NPI 1780137950) is an individual clinical provider in Toledo, Ohio, licensed in Ohio (I.1801351-SUPV) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780137950
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIERSTEN MISRACredential: MSW, LISW-S, LICDC
Location Address3131 EXECUTIVE PKWY STE 205Toledo, OH 43606-1327
Mailing Address3131 Executive Pkwy Ste 205Toledo, OH 43606-1327 · (419) 360-7026 · Fax (419) 482-1262
Fax(419) 482-1262
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 25, 2016
Last NPPES UpdateJanuary 26, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1780137950 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.1801351-SUPV
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161602 (OH)
3131 EXECUTIVE PKWY STE 205, Toledo, OH 43606

Other Identifiers 2

Medicaid0360500OH
Other1972140044OH · Npi Ii

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kiersten Misra Msw, Lisw-s, Licdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507191921
PECOS Enrollment IDI20190708002142
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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

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

Counselor (Mental Health)
3131 EXECUTIVE PKWY STE 205
TOLEDO, OH 43606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780137950, enumerated as an "individual" on July 25, 2016.

The provider is located at 3131 EXECUTIVE PKWY STE 205 TOLEDO, OH 43606 and the phone number is (419) 360-7026.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: CareSource, MedMutual, Oscar Health Insurance,. Please consult your insurance carrier or call the provider to verify.