Individual provider Active NPI

Kelsey Anne Fronek, MSW, LSW

  • Social Worker
  • Boardman, OH
National Provider Identifier
1447808845
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106466 Issued in OH
Practice address
955 Windham Court
Suite 2
Boardman, OH 44512-5035
Phone
(330) 726-9570
Fax
(330) 726-9031
NPI assigned
Aug 28, 2019
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2106466 OH Primary

Addresses

Primary practice location

955 Windham Court
Suite 2
Boardman, OH 44512-5035

Mailing address

955 Windham Court
Suite 2
Boardman, OH 44512-5035
Phone (330) 726-9570

Other identifiers 1

IdentifierTypeStateIssuer
0367248MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2106466OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatry Group Inc Social Worker CurrentSince Jan 7, 2024 Accepting new patients
Comprehensive Psychiatry Group, Inc. Social Worker Past Accepting new patients

Locations

955 Windham Ct
Ste 2
Youngstown, OH 44512
Phone (330) 726-9570

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1447808845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WINDHAM COURT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-726-9570",
            "fax_number": "330-726-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WINDHAM COURT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-726-9570",
            "fax_number": "330-726-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONEK",
        "first_name": "KELSEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0367248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.