Active NPI
Jina Varanasi-Lee
- Clinical Social Worker
- Worthington, OH
National Provider Identifier
1104514140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2507041
- Practice address
- 5617 Indianola Ave
Worthington, OH 43085-3704 - Phone
- (161) 444-0803
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.2507041 | OH | Primary |
Addresses
Primary practice location
5617 Indianola Ave
Worthington, OH 43085-3704
Mailing address
5617 Indianola Ave
Worthington, OH 43085-3704
Phone (614) 440-8038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966
312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2507041 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integration Counseling | Current | Accepting new patients | |
| Sanos Counseling, LLC | Clinical | Past | Accepting new patients |
Locations
14701 Detroit Ave
Ste 587
Lakewood, OH 44107
Phone (440) 708-8922
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Lakewood, OH
- NPI 1912730813
-
- Clinical Social Worker
- Columbus, OH
- NPI 1295452126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1104514140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5617 INDIANOLA AVE",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853704",
"telephone_number": "614-440-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5617 INDIANOLA AVE",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853704",
"telephone_number": "161-444-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARANASI-LEE",
"first_name": "JINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2507041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.