Individual provider Active NPI

Maryjane Frank, LISW

  • Clinical Social Worker
  • Pickerington, OH
National Provider Identifier
1003901760
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0004784 Issued in OH
Practice address
437 Hill Rd N
Pickerington, OH 43147-1157
Phone
(614) 834-1919
Fax
(614) 834-1920
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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-0004784 OH Primary

Addresses

Primary practice location

437 Hill Rd N
Pickerington, OH 43147-1157

Mailing address

437 Hill Rd N
Pickerington, OH 43147-1157
Phone (614) 834-1919

Other identifiers 3

IdentifierTypeStateIssuer
000000117264OtherOHANTHEM
9111115MedicaidOH
1125-01OtherOHMOUNT CARMEL BEHAVIORAL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190521002040 OH Practitioner - Clinical Social Worker 1456694157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons Mental Health Services IncGroup PAC ID 5597799262, 15 clinicians

Practice addresses (Care Compare)

2652 Kull Rd
Lancaster, OH 43130-7707
Phone (740) 687-0835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0004784OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Mental Health Services, Inc. Clinical CurrentSince Apr 17, 2019 Accepting new patients
New Horizons Mental Health Services, Inc. Past Accepting new patients

Locations

1592 Granville Pike
Lancaster, OH 43130
Phone (740) 687-0835

2652 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6733

437 Hill Rd N
Pickerington, OH 43147
Phone (614) 239-9965

12943 Stonecreek Dr
Pickerington, OH 43147
Phone (740) 687-0835

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003901760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471157",
            "telephone_number": "614-834-1919",
            "fax_number": "614-834-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471157",
            "telephone_number": "614-834-1919",
            "fax_number": "614-834-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "MARYJANE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0004784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000117264",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9111115",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNT CARMEL BEHAVIORAL",
            "identifier": "1125-01",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.