Individual provider Active NPI

Francy Lynn Jenko, DSW, MSW, LICSW

  • Clinical Social Worker
  • Virginia, MN
National Provider Identifier
1265667646
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28508 Issued in MN
Practice address
230 1St St S Ste 110
Virginia, MN 55792-2670
Phone
(218) 576-5757
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 28508 MN Primary

Addresses

Primary practice location

230 1St St S Ste 110
Virginia, MN 55792-2670

Mailing address

3960 Saari Rd
Hibbing, MN 55746-8280
Phone (562) 882-6511

Other practice location 1

3203 3rd Ave W
Hibbing, MN 55746-2406
Phone (218) 263-9237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20191210001458 MN Practitioner - Clinical Social Worker 4183057904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3960 Saari Rd
Hibbing, MN 55746-8280
Phone (218) 231-1253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Within Holistic Psychotherapy, PA Clinical CurrentSince May 1, 2022 Accepting new patients
Range Mental Health Center Inc PastSince Oct 1, 2019 Accepting new patients

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1265667646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 SAARI RD",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557468280",
            "telephone_number": "562-882-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 1ST ST S STE 110",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922670",
            "telephone_number": "218-576-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3203 3rd Ave W",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557462406",
            "country_code": "US",
            "telephone_number": "218-263-9237",
            "fax_number": "218-262-3150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKO",
        "first_name": "FRANCY",
        "middle_name": "LYNN",
        "credential": "DSW, MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.