Individual provider Active NPI

Jina Varanasi-Lee

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1104514140
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507041 Issued in OH
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

Updated by the provider on Apr 7, 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.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, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250917004232 OH Practitioner - Clinical Social Worker 5890299366 Reassigns benefits to 2 organizations
I20260505001914 KY Practitioner - Clinical Social Worker 5890299366 Reassigns benefits to 1 organization

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
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

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

LicenseStateTypeSpecialty
I.2507041OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integration Counseling CurrentSince Aug 1, 2025 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.

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

Verify at the official NPI Registry.